SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER, INC.
NPI 1164249165
Clinic/Center - Mental Health (Including Community Mental Health Center) in Antonito, CO
About San Luis Valley Community Mental Health Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER, INC. (NPI 1164249165), doing business as San Luis Valley Behavioral Health Group, is a healthcare organization registered as a mental health (including community mental health center) in Antonito, Colorado and active in the NPI registry since September 2024. The organization lists Kyle Turnwall, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Luis Valley Community Mental Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
43Medicare enrollment records show 43 clinicians reassign Medicare billing to San Luis Valley Community Mental Health Center, Inc., which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 43Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, Inc.'s NPI number?
The NPI number for San Luis Valley Community Mental Health Center, Inc. is 1164249165. It was assigned to this organization in the NPPES registry on September 23, 2024. The provider is doing business as San Luis Valley Behavioral Health Group.
Where is San Luis Valley Community Mental Health Center, Inc. located?
San Luis Valley Community Mental Health Center, Inc. is located at 915 Dahlia Street, Antonito, CO 81120. The listed phone number is (719) 589-3671.
What is San Luis Valley Community Mental Health Center, Inc.'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.
Is San Luis Valley Community Mental Health Center, Inc. enrolled in Medicare?
Yes. San Luis Valley Community Mental Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Luis Valley Community Mental Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 5 Medicare specialties reassign their Medicare billing to San Luis Valley Community Mental Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (30), Clinical Social Worker (6) and Nurse Practitioner (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for San Luis Valley Community Mental Health Center, Inc. was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# San Luis Valley Community Mental Health Center, Inc. · NPI 1164249165
Mental Health (Including Community Mental Health Center) organization in Antonito, Colorado. Organization record, active in the CMS NPPES registry since September 23, 2024.
## Identity
- **NPI:** 1164249165 (Entity type: Organization)
- **Enumerated:** September 23, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** San Luis Valley Behavioral Health Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kyle Turnwall, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 915 DAHLIA STREET, Antonito, CO 81120
- **Phone:** (719) 589-3671
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 43 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (30), Clinical Social Worker (6), Nurse Practitioner (5); [full list](https://npiprofile.com/npi/1164249165/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164249165) · Data from the CMS NPPES public registry.