CASA DE CORAZON (NPI# 1548432065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548432065 |
| Entity Type | Organization |
| Organization Name | CASA DE CORAZON |
| Practice Address |
314 Don Fernando St Taos NM 87571-5953 |
| Mailing Address |
Po Box 3157 Espanola NM 87533-3157 |
| Practice Telephone | 5057471991 |
| Mailing Telephone | 5057471991 |
| Mailing Fax Number | 5057536462 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | JEANNE MARGARETE WENZKE (LINCENSED MASTERS OF SOCIAL WORK) |
| Authorized Official Telephone | 5059445560 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | M-06643 | NM | Agencies |
| Street Address |
314 DON FERNANDO ST |
| City | TAOS |
| State | NM |
| Zip Code | 87571-5953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184675662 | Judy Lynn Hine Vargas | Counselor | 314 Don Fernando St, Taos, NM 87571-5953 | 2006-05-12 |
| 1841708989 | Angela Andazola | Case Manager/Care Coordinator | 314 Don Fernando St, Taos, NM 87571-5953 | 2018-01-10 |
| 1083074934 | Pamela Kay Zook | Case Manager/Care Coordinator | 314 Don Fernando St, Taos, NM 87571-5953 | 2016-03-03 |
| 1134589666 | Naomi J Concha | Case Manager/Care Coordinator | 314 Don Fernando St, Taos, NM 87571-5953 | 2016-02-25 |
| 1093196354 | Bruce Rose | Case Manager/Care Coordinator | 314 Don Fernando St, Taos, NM 87571-5953 | 2015-06-12 |
| 1720469091 | Teresa Trujillo | Case Manager/Care Coordinator | 314 Don Fernando St, Taos, NM 87571-5953 | 2015-06-12 |
| 1952782229 | Ninfa Romero | Case Manager/Care Coordinator | 314 Don Fernando St, Taos, NM 87571-5953 | 2015-06-12 |
| 1235510678 | Lesha Trujillo | Case Manager/Care Coordinator | 314 Don Fernando St, Taos, NM 87571-5953 | 2015-06-11 |
| 1508247966 | Genevieve Montoya | Case Manager/Care Coordinator | 314 Don Fernando St, Taos, NM 87571-5953 | 2015-06-11 |
| 1851772164 | Barbara Apodaca | Case Manager/Care Coordinator | 314 Don Fernando St, Taos, NM 87571-5953 | 2015-06-11 |
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| 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 |
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| 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 |
|---|---|---|---|---|
| 1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
| 1598063372 | Taos Pueblo Behavioral Health | Community/Behavioral Health | 236 Rotten Tree Road, Taos, NM 87571-1846 | 2011-03-03 |
| 1669602348 | Rocky Mountainyouth Corps | Community/Behavioral Health | 1021 Salazar Rd, Taos, NM 87571-8212 | 2009-07-16 |
| 1447302989 | Amigos Unidos Inc | Community/Behavioral Health | 1331 Gusdorf Road, Taos, NM 87571 | 2007-01-17 |
| 1225491830 | Kathy E. Linton, Ms, Lpcc | Community/Behavioral Health | 208 Paseo Del Pueblo Sur, Suite 101, Taos, NM 87571-5931 | 2016-03-31 |
| 1760824106 | Common Ground Counseling | Community/Behavioral Health | 405 Tewa St, Taos, NM 87571 | 2013-07-26 |
| 1255699393 | Taos Family and Couples Institute | Community/Behavioral Health | 827 Paseo Del Pueblo Norte, Taos, NM 87571-6887 | 2012-04-26 |
| 1184992612 | Taos Pueblo Cms Administration | Community/Behavioral Health | 230 Rotten Tree Road, Taos, NM 87571 | 2011-12-12 |
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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.