TERESA ANN BERTONCIN (NPI# 1255582367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255582367 |
| Entity Type | Individual |
| Full Name | TERESA ANN BERTONCIN |
| Credential | LPCC |
| Practice Address |
208 Ranchitos Rd Unit B Taos NM 87571-6895 |
| Mailing Address |
Po Box 610 139 El Salto Road Arroyo Seco NM 87514-0610 |
| Practice Telephone | 5757708552 |
| Mailing Telephone | 5757708552 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2011-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0138711 | NM | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | T-0136651 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 39654753 | 05 |
| Street Address |
208 RANCHITOS RD UNIT B |
| City | TAOS |
| State | NM |
| Zip Code | 87571-6895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080923 | Veronika Anne Peacetree | Counselor | Vds-taos, 314 Don Fernando Street, Taos, NM 87571 | 2019-02-28 |
| 1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
| 1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
| 1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
| 1467908103 | Jacqueline Danielle Arcand | Social Worker | 250 Shadow Mountain Rd, Taos, NM 87571 | 2016-09-01 |
| 1225487812 | James Lucero | Social Worker | 905 Witt Rd., Taos, NM 87571 | 2016-06-06 |
| 1083098370 | Ellen Durant | Marriage & Family Therapist | 1135 Butterfly Rd, Taos, NM 87571 | 2015-07-16 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
| Find all providers in zip 87571 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992352942 | Complete Behavioral Health, LLC | Counselor | 105 Bertha Rd Ste A, Taos, NM 87571-7148 | 2019-08-23 |
| 1861049975 | Leroy Brian Salazar | Counselor | 105 Bertha Rd Ste B, Taos, NM 87571-7148 | 2019-08-22 |
| 1184289449 | Kirsten M. Nelson | Counselor | 945 Salazar Rd, Taos, NM 87571-8231 | 2019-05-02 |
| 1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
| 1952807521 | Stillwater Counseling LLC | Counselor | 822 Paseo Del Pueblo Sur Unit B, Taos, NM 87571-7229 | 2018-04-03 |
| 1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
| 1508212739 | Teresa Trigiani | Counselor | 1337 Gusdorf Rd Ste E, Taos, NM 87571-6283 | 2016-05-06 |
| 1992170062 | Kathy E Linton | Counselor | 208 Paseo Del Pueblo Sur, Suite 101, Taos, NM 87571-5931 | 2015-12-01 |
| 1750716502 | Elizabeth Weston Stern | Counselor | 1337 Gusdorf Road, Suite E, Taos, NM 87571 | 2013-09-12 |
| 1790930246 | Stephen Moser | Counselor | 1337 Gusdorf Road, Suite M, Taos, NM 87571-7200 | 2008-11-25 |
| Find all providers in TAOS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.