TRIAD BEHAVIORAL HEALTH CARE LLC (NPI# 1346310653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346310653 |
| Entity Type | Organization |
| Organization Name | TRIAD BEHAVIORAL HEALTH CARE LLC |
| Other Organization Name | MILAGRO COMMUNITY CARE |
| Practice Address |
1401 S Don Roser Dr Suite F-1-2 Las Cruces NM 88011-4567 |
| Practice Telephone | 5755214848 |
| Practice Fax Number | 5755221798 |
| Mailing Telephone | 5755214848 |
| Mailing Fax Number | 5755221798 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | WILLIAM E LAFRENIERE (BILLING MANAGER) |
| Authorized Official Telephone | 5755321888 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRIAD BEHAVIORAL HEALTH CARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 84-180 | NM | Agencies |
| Other Name | Type Code |
|---|---|
| Milagro Community Care | Doing Business As Name - Organization |
| Street Address |
1401 S DON ROSER DR SUITE F-1-2 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-4567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050151 | Deanna Joy Fresquez Mynatt | Nurse Practitioner | 1401 S Don Roser Dr, Las Cruces, NM 88011-4567 | 2019-12-19 |
| 1205331121 | New Mexico Psychological Medicine, LLC | Clinic/Center | 1401 S Don Roser Dr, Las Cruces, NM 88011 | 2018-03-25 |
| 1568890390 | Bernadette Grace Larimer | Social Worker | 1401 S Don Roser Dr, Las Cruces, NM 88011-4567 | 2013-10-14 |
| 1033402821 | New Beginnings Obstetrics & Gynceology, P.c | Obstetrics & Gynecology | 1401 S Don Roser Dr, Suite D, Las Cruces, NM 88011-9148 | 2011-05-26 |
| 1316268907 | Krista Lynn Scorsone | Nurse Practitioner | 1401 S Don Roser Dr, Suite A-1, Las Cruces, NM 88011-4567 | 2010-06-17 |
| 1932433109 | Josefina Rivera Ramirez | Behavioral Analyst | 1401 S Don Roser Dr, Suite D, Las Cruces, NM 88011-4567 | 2009-09-22 |
| 1578755765 | Eileen Flores-madrid | Counselor | 1401 S Don Roser Dr, F-1, Las Cruces, NM 88011-4567 | 2007-08-13 |
| 1508066457 | Jerome Frazier | Obstetrics & Gynecology | 1401 S Don Roser Dr, Suite D, Las Cruces, NM 88011-4567 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443924 | Recovery Innovations, Inc | Community/Behavioral Health | 1850 Copper Loop Bldg B, Las Cruces, NM 88005-8139 | 2020-10-06 |
| 1912561515 | Amistad Family Services Inc | Community/Behavioral Health | 390 Calle De Alegra Ste B, Las Cruces, NM 88005-3280 | 2019-04-29 |
| 1689148033 | Change of Heart Behavior Services LLC | Community/Behavioral Health | 1776 Vista Montana Rd, Las Cruces, NM 88005-6264 | 2019-01-18 |
| 1063997161 | Amanecer Community Counseling Center | Community/Behavioral Health | 128 Wyatt Dr, Las Cruces, NM 88005-2925 | 2018-09-25 |
| 1669955373 | Aldv, LLC | Community/Behavioral Health | 4129 Calle De Estrellas, Las Cruces, NM 88012-7649 | 2018-09-09 |
| 1386139780 | Rydan Solutions Inc | Community/Behavioral Health | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2018-06-27 |
| 1851898423 | Jacqueline M Meraz | Community/Behavioral Health | 4020 N Valley Dr, Las Cruces, NM 88007-6844 | 2018-04-10 |
| 1730688557 | Sears Counseling LLC | Community/Behavioral Health | 1100 S. Main Street Suite 22, Las Cruces, NM 88005-8800 | 2018-02-07 |
| 1801321062 | Andrea Mata | Community/Behavioral Health | 501 N Roadrunner Pkwy Apt 205, Las Cruces, NM 88011-8072 | 2017-04-25 |
| 1922549492 | Marisol Olivas Lmft LLC | Community/Behavioral Health | 5019 Kensington Way, Las Cruces, NM 88012 | 2017-03-16 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.