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SAN LUIS VALLEY BEHAVIORAL HEALTH GROUP
NPI 1003420555
Clinic/Center - Mental Health (Including Community Mental Health Center) in South Fork, CO

Active since September 02, 2020CLIA 06D2150442 · Waiver
20 LODGE DR, SOUTH FORK, CO 81154(719) 589-3671 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2023, Sep 2, 2020 (2 updates tracked since 2020).

About San Luis Valley Behavioral Health Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN LUIS VALLEY BEHAVIORAL HEALTH GROUP (NPI 1003420555) is a healthcare organization registered as a mental health (including community mental health center) in South Fork, Colorado and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Victoria Romero, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003420555
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER
Location Address20 LODGE DRSouth Fork, CO 81154-9670
Mailing Address8745 County Road 9 SAlamosa, CO 81101-9610 · (719) 589-3671
Phone(719) 589-3671
Organization SubpartNo
Authorized OfficialVictoria RomeroCeo · (719) 589-3671
Enumeration DateSeptember 2, 2020
Last NPPES UpdateJanuary 16, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2023
✔ NPI 1003420555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
20 LODGE DR, South Fork, CO 81154
Open in Google Maps ↗

Other Names 1

Doing Business AsSan Luis Valley Behavioral Health Group

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2150442

San Luis Valley Behavioral Health Group · Alamosa, CO
Active · expires Jun 24, 2028
CLIA Number06D2150442
Laboratory TypePractitioner Other
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorVictoria Romero
Laboratory Phone(719) 589-3671
Laboratory LocationSan Luis Valley Behavioral Health Group8745 County Road 9 South, Alamosa, CO 81101
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
20 LODGE DR
SOUTH FORK, CO 81154
Rio Grande County (719) 589-3671
SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER
Community/Behavioral Health
20 LODGE DR
SOUTH FORK, CO 81154
Rio Grande County (719) 589-3671
SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
20 LODGE DR
SOUTH FORK, CO 81154
Rio Grande County (719) 589-3671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Luis Valley Community Mental Health Center's NPI number?

The NPI number for San Luis Valley Community Mental Health Center is 1003420555. It was assigned to this organization in the NPPES registry on September 2, 2020. The provider is doing business as San Luis Valley Behavioral Health Group.

Where is San Luis Valley Community Mental Health Center located?

San Luis Valley Community Mental Health Center is located at 20 Lodge Dr, South Fork, CO 81154. The listed phone number is (719) 589-3671.

What is San Luis Valley Community Mental Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does San Luis Valley Community Mental Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2150442) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Luis Valley Community Mental Health Center was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.