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COTTONWOOD CLINICAL SERVICES, INC.
NPI 1790019420
Community/Behavioral Health in Farmington, NM

Active since September 29, 2009CLIA Certified · 2 labs
653 W ARRINGTON ST, FARMINGTON, NM 87401(505) 564-3733(505) 564-3788 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2025, Jul 18, 2024, Jun 13, 2024 (3 updates tracked since 2024).

About Cottonwood Clinical Services, Inc. NPPES

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

COTTONWOOD CLINICAL SERVICES, INC. (NPI 1790019420) is a healthcare organization registered as a community/behavioral health in Farmington, New Mexico and active in the NPI registry since September 2009. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Kim D Dutremaine, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1790019420
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOTTONWOOD CLINICAL SERVICES, INC.
Location Address653 W ARRINGTON STFarmington, NM 87401-8513
Mailing Address653 W Arrington StFarmington, NM 87401-8513 · (505) 564-3733 · Fax (505) 564-3788
Phone(505) 564-3733
Fax(505) 564-3788
Organization SubpartNo
Authorized OfficialKim D DutremaineExecutive Director · (505) 564-3733
Enumeration DateSeptember 29, 2009
Last NPPES UpdateJuly 10, 20253 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1790019420 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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0090031 (NM)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License I-06858 (NM)
653 W ARRINGTON ST, Farmington, NM 87401
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1324 W MAIN StFarmington, NM 87401 · Phone (505) 564-3733
Location 2228 N Schwartz AveFarmington, NM 87401-5547 · Phone (505) 327-4584
Location 3650 W Main StFarmington, NM 87401-8445 · Phone (505) 787-2616

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 32D2164812

Cottonwood Clinical Services Inc · Farmington, NM
Active · expires Jun 29, 2027
CLIA Number32D2164812
Laboratory TypeOutpaitient Sub Abuse
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorDr. Holly P. Abernethy
Laboratory Phone(505) 564-3733
Laboratory LocationCottonwood Clinical Services Inc650 West Main Street, Farmington, NM 87401
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 32D2210213

Cottonwood Clinical Services, Inc · Farmington, NM
Active · expires Jan 19, 2027
CLIA Number32D2210213
Laboratory TypeSubstance Abuse/Mental He
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorDr. Holly P. Abernathy
Laboratory Phone(505) 564-3733
Laboratory LocationCottonwood Clinical Services, Inc653 W Arrington Street, Farmington, NM 87401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

V SAPPHIRE SUN HORT LADAC
Counselor (Addiction (Substance Use Disorder))
653 W ARRINGTON ST
FARMINGTON, NM 87401
San Juan County (505) 564-3733
CHAD ROPER CPSW
Peer Specialist
653 W ARRINGTON ST
FARMINGTON, NM 87401
San Juan County (505) 564-3733
DESMOND DUTREMAINE CPSW
Peer Specialist
653 W ARRINGTON ST
FARMINGTON, NM 87401
San Juan County (505) 564-3733
JOYCE VAUGHN
Peer Specialist
653 W ARRINGTON ST
FARMINGTON, NM 87401
San Juan County (505) 564-3733
MICHAEL IRVIN ASHLEY CPSW
Peer Specialist
653 W ARRINGTON ST
FARMINGTON, NM 87401
San Juan County (505) 564-3733
JOHN WALSH IV CSW
Peer Specialist
653 W ARRINGTON ST
FARMINGTON, NM 87401
San Juan County (505) 564-3733
JUSTIN BRADY CSW
Peer Specialist
653 W ARRINGTON ST
FARMINGTON, NM 87401
San Juan County (505) 564-3733
SHANE STEVENS CSW, CPSW
Peer Specialist
653 W ARRINGTON ST
FARMINGTON, NM 87401
San Juan County (505) 564-3733

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 Cottonwood Clinical Services, Inc.'s NPI number?

The NPI number for Cottonwood Clinical Services, Inc. is 1790019420. It was assigned to this organization in the NPPES registry on September 29, 2009.

Where is Cottonwood Clinical Services, Inc. located?

Cottonwood Clinical Services, Inc. is located at 653 W Arrington St, Farmington, NM 87401. The listed phone number is (505) 564-3733.

What is Cottonwood Clinical Services, Inc.'s specialty?

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

Does Cottonwood Clinical Services, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cottonwood Clinical Services, Inc. was last updated on July 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.