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GAVRIELLA GRACE MONTOYA Y TIERNEY LSAA
NPI 1871264267
Counselor - Addiction (Substance Use Disorder) in Albuquerque, NM

Active since September 24, 2021PECOS Enrolled
630 HAINES AVE NW, ALBUQUERQUE, NM 87102(505) 268-5611(505) 268-5736 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gavriella Grace Montoya Y Tierney Lsaa NPPES

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

GAVRIELLA GRACE MONTOYA Y TIERNEY LSAA (NPI 1871264267) is an individual addiction (substance use disorder) provider in Albuquerque, New Mexico, licensed in New Mexico (CSA0220211) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871264267
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameGAVRIELLA GRACE MONTOYA Y TIERNEYCredential: LSAA
Location Address630 HAINES AVE NWAlbuquerque, NM 87102-1226
Mailing Address4106 5th St NwAlbuquerque, NM 87107-3509 · (505) 485-2366
Phone(505) 268-5611
Fax(505) 268-5736
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 24, 2021
NPPES CertifiedSeptember 24, 2021
✔ NPI 1871264267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NM · CSA0220211
630 HAINES AVE NW, Albuquerque, NM 87102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gavriella Grace Montoya Y Tierney Lsaa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810499464
PECOS Enrollment IDI20250904001380
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ELISE NICOLE PEDIGO PA-C
Physician Assistant
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
JASON FOLEY GILBERT LSAA
Counselor (Addiction (Substance Use Disorder))
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
SIERRA ANYSSA KENEBREW
Counselor (Addiction (Substance Use Disorder))
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
MARTY SENNA LSAA
Case Manager/Care Coordinator
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
METRO TREATMENT OF NEW MEXICO LP
Clinic/Center (Methadone)
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
NICHOLAS RUBEN ORTEGA LSAA
Counselor (Addiction (Substance Use Disorder))
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
MR. ROBERT V HILL LSAA
Counselor (Addiction (Substance Use Disorder))
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
CAROL S JOHNSON LMFT
Marriage & Family Therapist
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611

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 Gavriella Montoya Y Tierney's NPI number?

The NPI number for Gavriella Montoya Y Tierney is 1871264267. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Where is Gavriella Montoya Y Tierney located?

Gavriella Montoya Y Tierney practices at 630 Haines Ave NW, Albuquerque, NM 87102. The listed phone number is (505) 268-5611.

What is Gavriella Montoya Y Tierney's specialty?

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

Is Gavriella Montoya Y Tierney enrolled in Medicare?

Yes. Gavriella Montoya Y Tierney is registered in the Medicare PECOS enrollment system.

What insurance does Gavriella Montoya Y Tierney accept?

Health plans from Blue Cross and Blue Shield of Montana list Gavriella Montoya Y Tierney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gavriella Montoya Y Tierney was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.