RIO GRANDE EMDR THERAPY, LLC (NPI# 1861090342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861090342 |
| Entity Type | Organization |
| Organization Name | RIO GRANDE EMDR THERAPY, LLC |
| Practice Address |
6 Sierra Vista Drive Cedar Crest NM 87008 |
| Practice Telephone | 5053049431 |
| Mailing Telephone | 5053049431 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | SARAH PENN (OWNER) |
| Authorized Official Telephone | 5053049431 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
6 SIERRA VISTA DRIVE |
| City | CEDAR CREST |
| State | NM |
| Zip Code | 87008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487973145 | Phoenix Helm Simpson | Marriage & Family Therapist | 10 Haven Dr., Cedar Crest, NM 87008 | 2010-05-20 |
| 1548404825 | Amir H. Manoutchehri M.d. PC | Clinic/Center | 12125 State Highway 14 N., Cedar Crest, NM 87008 | 2009-04-30 |
| 1649412321 | Justin Andrew Kan | Emergency Medicine | 50 Calyx Ln, Cedar Crest, NM 87008 | 2009-03-27 |
| 1316184831 | Monique Y Keulen-nolet | Nurse Practitioner | 12127b North Highway 14, Suite #5, Cedar Crest, NM 87008 | 2009-01-21 |
| 1023141215 | Jana R. Covell | Physical Therapist | 12127 B3 N. Hwy 14, Cedar Crest, NM 87008 | 2007-03-14 |
| 1124156815 | Villa Santa Maria | Residential Treatment Facility, Emotionally Disturbed Children | 19 Cirquela Rd, Cedar Crest, NM 87008 | 2007-03-02 |
| 1083740971 | Amy Beth Marie Miller | Physical Therapist | 12127 B-3 North Highway 14, Cedar Crest, NM 87008 | 2007-02-26 |
| 1215019237 | Cedar Crest Vision LLC | Optometrist | 12220 North Highway 14, Suite 3, Cedar Crest, NM 87008 | 2006-10-19 |
| 1972519759 | Orrin Kent Mcleod | Family Medicine | 12127b N Hwy 14, Suite 5, Cedar Crest, NM 87008 | 2006-07-31 |
| 1538141221 | Lynda Ann Green | Nurse Practitioner | 12127b Hwy 14 N, Ste 5, Cedar Crest, NM 87008 | 2005-11-17 |
| Find all providers in zip 87008 | ||||
| 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 |
|---|---|---|---|---|
| 1720587389 | Turquoise Trail Counseling LLC | Community/Behavioral Health | 12165 State Highway 14 N Ste B7, Cedar Crest, NM 87008-9538 | 2018-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345328 | The People's Counseling and Consulting, LLC | Community/Behavioral Health | 4718 Idlewilde Ln Se, Albuquerque, NM 87108-3424 | 2020-10-28 |
| 1306443924 | Recovery Innovations, Inc | Community/Behavioral Health | 1850 Copper Loop Bldg B, Las Cruces, NM 88005-8139 | 2020-10-06 |
| 1689271413 | Thriving Mind LLC | Community/Behavioral Health | 4612 Huyana Dr Nw, Albuquerque, NM 87120-5597 | 2020-10-05 |
| 1922612951 | Connections Counseling LLC | Community/Behavioral Health | 11920 Dahlia Ave Se, Albuquerque, NM 87123-2470 | 2020-09-08 |
| 1538771357 | Ariane Mahmud-ghazi, LLC | Community/Behavioral Health | 1604 Young St, Santa Fe, NM 87505-3504 | 2020-08-21 |
| 1790301026 | Capitan Therapy & Behavioral Health | Community/Behavioral Health | 102 East Smokey Bear Blvd, Capitan, NM 88316 | 2020-06-23 |
| 1396360871 | Integrity Behavior Improvement Services, LLC | Community/Behavioral Health | 1916 Amherst Dr Ne, Albuquerque, NM 87106-1105 | 2020-06-10 |
| 1871116236 | Carsal LLC | Community/Behavioral Health | 6501 4th St Nw Ste E2, Los Ranchos, NM 87107-5800 | 2020-05-20 |
| 1023647096 | Inner Peace Outreach LLC | Community/Behavioral Health | 3107 San Mateo Blvd Ne, Albuquerque, NM 87110-1921 | 2020-04-02 |
| 1255967550 | Carrie Eberhardy, Lcsw LLC | Community/Behavioral Health | 3600 Cerrillos Rd Ste 724e, Santa Fe, NM 87507-2690 | 2020-03-18 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR CREST |
| Zip Code | 87008 |
Please comment or provide details below to improve the information on RIO GRANDE EMDR THERAPY, LLC.
| 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.