Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SANTO DOMINGO PUEBLO
NPI 1396944211
Community/Behavioral Health in Santo Domingo Pueblo, NM

Active since July 11, 2007
18 EAGLE CT # 87052, SANTO DOMINGO PUEBLO, NM 87052(505) 465-2733 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Santo Domingo Pueblo NPPES

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

SANTO DOMINGO PUEBLO (NPI 1396944211), doing business as Kewa Family Wellness Center, is a healthcare organization registered as a community/behavioral health in Santo Domingo Pueblo, New Mexico and active in the NPI registry since July 2007. The organization lists Lucas Jerome O'laughlin, Director, as its authorized official.

NPPES Registry Identity

NPI1396944211
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSANTO DOMINGO PUEBLO
Location Address18 EAGLE CT # 87052Santo Domingo Pueblo, NM 87052-1230
Mailing AddressPo Box 130Santo Domingo Pueblo, NM 87052-0130 · (505) 465-2733
Organization SubpartNo
Authorized OfficialLucas Jerome O'laughlinDirector · (505) 709-8259
Enumeration DateJuly 11, 2007
Last NPPES UpdateJuly 9, 2026
NPPES CertifiedJuly 9, 2026
NPI 1396944211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
18 EAGLE CT # 87052, Santo Domingo Pueblo, NM 87052

Other Names 1

Doing Business AsKewa Family Wellness Center

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396944211, enumerated as an "organization" on July 11, 2007.

The provider is located at 18 EAGLE CT # 87052 SANTO DOMINGO PUEBLO, NM 87052 and the phone number is (505) 465-2733.

Community/Behavioral Health with taxonomy code 251S00000X.