Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PUEBLO OF ISLETA
NPI 1114040714
Counselor - Addiction (Substance Use Disorder) in Isleta, NM

Active since April 09, 2007
01 SAGEBRUSH ST, ISLETA, NM 87022(505) 869-4863(505) 869-4811 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 18, 2026, May 18, 2017, Sep 30, 2016 and 1 more (4 updates tracked since 2016).

About Pueblo Of Isleta NPPES

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

PUEBLO OF ISLETA (NPI 1114040714), doing business as Isleta Health Center Bh, is a healthcare organization registered as an addiction (substance use disorder) in Isleta, New Mexico and active in the NPI registry since April 2007. The organization lists Kimberly Pohl, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114040714
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NamePUEBLO OF ISLETA
Location Address01 SAGEBRUSH STIsleta, NM 87022-0000
Mailing AddressPo Box 912157Denver, CO 80291-2157 · (505) 869-4863 · Fax (505) 869-4811
Fax(505) 869-4811
Organization SubpartYes
Authorized OfficialKimberly PohlCeo · (505) 869-3200
Enumeration DateApril 9, 2007
Last NPPES UpdateAugust 18, 20264 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
NPI 1114040714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NM · 501C
01 SAGEBRUSH ST, Isleta, NM 87022

Other Names 1

Doing Business AsIsleta Health Center Bh

Other Identifiers 1

Medicaid3803775NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Registered Nurse (Community Health)
01 SAGEBRUSH ST
ISLETA, NM 87022
Psychologist (Family)
01 SAGEBRUSH ST
ISLETA, NM 87022
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
01 SAGEBRUSH ST
ISLETA, NM 87022
Health Educator
01 SAGEBRUSH ST
ISLETA, NM 87022
Physical Therapist
01 SAGEBRUSH ST
ISLETA, NM 87022

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 Pueblo Of Isleta's NPI number?

The NPI number for Pueblo Of Isleta is 1114040714. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Isleta Health Center BH.

Where is Pueblo Of Isleta located?

Pueblo Of Isleta is located at 01 Sagebrush St, Isleta, NM 87022. The listed phone number is (505) 869-4863.

What is Pueblo Of Isleta's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Pueblo Of Isleta accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Pueblo Of Isleta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pueblo Of Isleta was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.