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NEW MEXICO TEEN CHALLENGE, INC.
NPI 1508488677
Counselor - Addiction (Substance Use Disorder) in Tijeras, NM

Active since May 12, 2020
1 CAMINO ORO CT, TIJERAS, NM 87059(706) 596-8731(706) 596-8732 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2023, May 12, 2020 (2 updates tracked since 2020).

About New Mexico Teen Challenge, Inc. NPPES

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

NEW MEXICO TEEN CHALLENGE, INC. (NPI 1508488677) is a healthcare organization registered as an addiction (substance use disorder) in Tijeras, New Mexico and active in the NPI registry since May 2020. The organization lists James Goins, Clinical Supervisor, as its authorized official.

NPPES Registry Identity

NPI1508488677
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameNEW MEXICO TEEN CHALLENGE, INC.
Location Address1 CAMINO ORO CTTijeras, NM 87059-7924
Mailing AddressPo Box 20610Albuquerque, NM 87154-0610 · (706) 596-8731 · Fax (706) 596-8732
Phone(706) 596-8731
Fax(706) 596-8732
Organization SubpartNo
Authorized OfficialJames GoinsClinical Supervisor · (484) 868-0584
Enumeration DateMay 12, 2020
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
✔ NPI 1508488677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
1 CAMINO ORO CT, Tijeras, NM 87059
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

DAVID SEYEDSADR
Case Manager/Care Coordinator
1 CAMINO ORO CT
TIJERAS, NM 87059
Bernalillo County (505) 274-8534
ELLEN LORRAINE VAN DYKE CCSS
Case Manager/Care Coordinator
1 CAMINO ORO CT
TIJERAS, NM 87059
Bernalillo County (706) 593-8731
DAN GALLOVICH CPSW
Community Health Worker
1 CAMINO ORO CT
TIJERAS, NM 87059
Bernalillo County (505) 274-8534
ADRIAN GARCIA CHAVIRA CCSS
Case Manager/Care Coordinator
1 CAMINO ORO CT
TIJERAS, NM 87059
Bernalillo County (505) 274-8534
THERESA RAMIREZ
Case Manager/Care Coordinator
1 CAMINO ORO CT
TIJERAS, NM 87059
Bernalillo County (706) 593-8731
VALERIE R RODGERS
Case Manager/Care Coordinator
1 CAMINO ORO CT
TIJERAS, NM 87059
Bernalillo County (505) 274-8534
KRISTIN LYNNETTE COLLADO
Counselor (Mental Health)
1 CAMINO ORO CT
TIJERAS, NM 87059
Bernalillo County (505) 274-8534
JUAN MURO
Counselor (Addiction (Substance Use Disorder))
1 CAMINO ORO CT
TIJERAS, NM 87059
Bernalillo County (505) 274-8534

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 New Mexico Teen Challenge, Inc.'s NPI number?

The NPI number for New Mexico Teen Challenge, Inc. is 1508488677. It was assigned to this organization in the NPPES registry on May 12, 2020.

Where is New Mexico Teen Challenge, Inc. located?

New Mexico Teen Challenge, Inc. is located at 1 Camino Oro Ct, Tijeras, NM 87059. The listed phone number is (706) 596-8731.

What is New Mexico Teen Challenge, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for New Mexico Teen Challenge, Inc. was last updated on July 7, 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.