GREATER SANTA ROSA COUNCIL ON ALCOHOLISM
NPI 1932313400
Community/Behavioral Health in Santa Rosa, NM

Active since May 10, 2007
1047 LAKE DR, SANTA ROSA, NM 88435(575) 472-5383 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Greater Santa Rosa Council On Alcoholism NPPES

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

GREATER SANTA ROSA COUNCIL ON ALCOHOLISM (NPI 1932313400), doing business as Professional Counseling Associ, is a healthcare organization registered as a community/behavioral health in Santa Rosa, New Mexico and active in the NPI registry since May 2007. The organization lists Jonas Moya, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1932313400
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGREATER SANTA ROSA COUNCIL ON ALCOHOLISM
Location Address1047 LAKE DRSanta Rosa, NM 88435-2561
Mailing Address1047 Lake DrSanta Rosa, NM 88435-2561 · (575) 472-5383
Organization SubpartNo
Authorized OfficialJonas MoyaChief Executive Officer · (505) 803-4955
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
NPI 1932313400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in NM · LISW1041C0700X
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.

1047 LAKE DR, Santa Rosa, NM 88435

Other Names 2

Doing Business AsProfessional Counseling Associ
Other NameProfessional Counseling Associates Of New Mexico

Other Identifiers 2

Medicaid000A3588NM
OtherNM000217NM · Value Options

Other Providers at the Same Location NPPES 11

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

Counselor
1047 LAKE DR
SANTA ROSA, NM 88435
Counselor
1047 LAKE DR
SANTA ROSA, NM 88435
Counselor
1047 LAKE DR
SANTA ROSA, NM 88435
Counselor
1047 LAKE DR
SANTA ROSA, NM 88435
Nurse's Aide
1047 LAKE DR
SANTA ROSA, NM 88435
Counselor
1047 LAKE DR
SANTA ROSA, NM 88435
Counselor
1047 LAKE DR, 1004 CINNAMON LOOP APT 17
SANTA ROSA, NM 88435
Community Health Worker
1047 LAKE DR
SANTA ROSA, NM 88435

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932313400, enumerated as an "organization" on May 10, 2007.

The provider is located at 1047 LAKE DR SANTA ROSA, NM 88435 and the phone number is (575) 472-5383.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.