TEAMBUILDERS BEHAVIORAL HEALTH, LLC
NPI 1760051130
Community/Behavioral Health in Santa Rosa, NM
About Teambuilders Behavioral Health, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEAMBUILDERS BEHAVIORAL HEALTH, LLC (NPI 1760051130) is a healthcare organization registered as a community/behavioral health in Santa Rosa, New Mexico and active in the NPI registry since June 2021. The organization lists Sun Vega, Chief Operations Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Teambuilders Behavioral Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Teambuilders Behavioral Health, LLC, 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 24Source: 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 Teambuilders Behavioral Health, LLC's NPI number?
The NPI number for Teambuilders Behavioral Health, LLC is 1760051130. It was assigned to this organization in the NPPES registry on June 21, 2021.
Where is Teambuilders Behavioral Health, LLC located?
Teambuilders Behavioral Health, LLC is located at 501 S 4th St, Santa Rosa, NM 88435. The listed phone number is (575) 472-0745.
What is Teambuilders Behavioral Health, LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Teambuilders Behavioral Health, LLC enrolled in Medicare?
Yes. Teambuilders Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.
When is Teambuilders Behavioral Health, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Teambuilders Behavioral Health, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 5 Medicare specialties reassign their Medicare billing to Teambuilders Behavioral Health, LLC. 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 (12), Clinical Social Worker (7) and Nurse Practitioner (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Teambuilders Behavioral Health, LLC was last updated on February 5, 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.
# Teambuilders Behavioral Health, Llc · NPI 1760051130
Community/Behavioral Health organization in Santa Rosa, New Mexico. Organization record, active in the CMS NPPES registry since June 21, 2021.
## Identity
- **NPI:** 1760051130 (Entity type: Organization)
- **Enumerated:** June 21, 2021
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Sun Vega, CHIEF OPERATIONS OFFICER
## Practice location
- **Address:** 501 S 4TH ST, Santa Rosa, NM 88435-2417
- **Phone:** (575) 472-0745 · **Fax:** (575) 472-0746
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New Mexico, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 24 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (12), Clinical Social Worker (7), Nurse Practitioner (2); [full list](https://npiprofile.com/npi/1760051130/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2024
- **Other identifiers:** Medicaid 01981331 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1760051130) · Data from the CMS NPPES public registry.