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TRAUMA TREATMENT CENTER LLC
NPI 1427567486
Community/Behavioral Health in Rio Rancho, NM

Active since September 21, 2017
1316 JACKIE RD SE STE 900, RIO RANCHO, NM 87124(505) 289-1042(505) 466-5895 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 4, 2019, Dec 4, 2018, Jun 21, 2018 and 1 more (4 updates tracked since 2017).

About Trauma Treatment Center Llc NPPES

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

TRAUMA TREATMENT CENTER LLC (NPI 1427567486) is a healthcare organization registered as a community/behavioral health in Rio Rancho, New Mexico and active in the NPI registry since September 2017. The organization lists Kathlene Bunch, Owner, as its authorized official.

NPPES Registry Identity

NPI1427567486
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameTRAUMA TREATMENT CENTER LLC
Location Address1316 JACKIE RD SE STE 900Rio Rancho, NM 87124-6612
Mailing Address1316 Jackie Rd Se Ste 900Rio Rancho, NM 87124-6612 · (505) 289-1042
Phone(505) 289-1042
Fax(505) 466-5895
Organization SubpartNo
Authorized OfficialKathlene BunchOwner · (505) 289-1042
Enumeration DateSeptember 21, 2017
Last NPPES UpdateApril 4, 20194 updates tracked since enumeration
✔ NPI 1427567486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License 0185071 (NM)
1316 JACKIE RD SE STE 900, Rio Rancho, NM 87124
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trauma Treatment Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Trauma Treatment Center LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Kathlene (Kate) Bunch, LPCC
Mental Health Counselor
NPI 1891119574
1316 JACKIE RD SE STE 900
Rio Rancho, NM 87124
(505) 289-1042
✔ PECOSSame address
Roseann Porquis, LCSW
Clinical Social Worker
NPI 1801607643
1316 JACKIE RD SE STE 900
Rio Rancho, NM 87124
(505) 404-9892
✔ PECOSSame address
Lyndsey Riordan, MOT, OTR/L
Occupational Therapist in Private Practice
NPI 1720701477
1316 JACKIE RD SE STE 900
Rio Rancho, NM 87124
(505) 289-1042
Same address
Cortny Stark, MA, LPCC, LADAC, CRC
Mental Health Counselor
NPI 1104176148
1316 JACKIE RD SE STE 900
Rio Rancho, NM 87124
(505) 289-1042
✔ PECOSSame address
Alexa Valencia
Occupational Therapist in Private Practice
NPI 1538947858
1316 JACKIE RD SE
Rio Rancho, NM 87124
(505) 404-9892
Same address

Source: 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 Trauma Treatment Center LLC's NPI number?

The NPI number for Trauma Treatment Center LLC is 1427567486. It was assigned to this organization in the NPPES registry on September 21, 2017.

Where is Trauma Treatment Center LLC located?

Trauma Treatment Center LLC is located at 1316 Jackie Rd SE Ste 900, Rio Rancho, NM 87124. The listed phone number is (505) 289-1042.

What is Trauma Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Trauma Treatment Center LLC enrolled in Medicare?

Yes. Trauma Treatment Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trauma Treatment Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Trauma Treatment Center LLC, in Clinical Social Worker, Mental Health Counselor and Occupational Therapist in Private Practice. 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. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Trauma Treatment Center LLC was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.