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

NPI Status: Active since May 10, 2007

Contact Information

1047 LAKE DR
SANTA ROSA, NM
ZIP 88435
Phone: (575) 472-5383

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  • Organization
  • Community/Behavioral Health

About GREATER SANTA ROSA COUNCIL ON ALCOHOLISM

This page provides the complete NPI Profile along with additional information for Greater Santa Rosa Council On Alcoholism, a provider established in Santa Rosa, New Mexico operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1932313400 assigned on May 2007. The practitioner's primary taxonomy code is 251S00000X with license number LISW1041C0700X (NM). The provider is registered as an organization and their NPI record was last updated July 2025. The provider's . The authorized official of this NPI record is Mr. Jonas Moya (Chief Executive Officer)

NPI
1932313400
Provider Legal Name
GREATER SANTA ROSA COUNCIL ON ALCOHOLISM
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1047 LAKE DR SANTA ROSA, NM 88435
Location Phone
(575) 472-5383
Mailing Address
1047 LAKE DR SANTA ROSA, NM 88435
Mailing Phone
(575) 472-5383
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2007
Last Update Date
07-15-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
LISW1041C0700X
License State
NM
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JONAS MOYA

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(505) 803-4955

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000A3588MEDICAID (05)NM 
NM000217OTHER (01)NMVALUE OPTIONS

Reviews for GREATER SANTA ROSA COUNCIL ON ALCOHOLISM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1932313400
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
296261640
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 6 + 1 + 6 + 4 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1932313400 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770876831 JENNIFER ELAINE WARREN
Individual
Counselor1047 LAKE DR
SANTA ROSA, NM 88435
(575) 472-5383
1811246705 CAYETANA ZAMORA CPSW/ CFPSW/EDOO
Individual
Counselor1047 LAKE DR
SANTA ROSA, NM 88435
(575) 472-5383
1831760883MR. GILBERT A LOPEZ CSW
Individual
Counselor1047 LAKE DR
SANTA ROSA, NM 88435
(575) 512-6154
1811568868MS. BRENDA WHITE CSW
Individual
Counselor1047 LAKE DR
SANTA ROSA, NM 88435
(575) 472-5383
1184295131MRS. ASHLEY KAYLA GALLEGOS
Individual
Nurse's Aide1047 LAKE DR
SANTA ROSA, NM 88435
(575) 472-5383
1992376941 DANIELLE FRANCHESCA ROMERO CSW
Individual
Counselor1047 LAKE DR
SANTA ROSA, NM 88435
(575) 472-5383
1821762824MS. VANESSA ROCHELLE CHAVEZ CSW
Individual
Counselor1047 LAKE DR 1004 CINNAMON LOOP APT 17
SANTA ROSA, NM 88435
(575) 512-5425
1669204277 ELIZABETH A MONTANO
Individual
Community Health Worker1047 LAKE DR
SANTA ROSA, NM 88435
(575) 472-5383
1417370131GREATER SANTA ROSA COUNCIL ON ALCOHOLISM
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1047 LAKE DR
SANTA ROSA, NM 88435
(575) 472-5383
1962580175GREATER SANTA ROSA COUNCIL ON ALCOHOLISM
Organization
Community/Behavioral Health1047 LAKE DR
SANTA ROSA, NM 88435
(575) 472-5383

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932313400, enumerated in the NPI registry 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

This medical organization specializes in 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 make sure your health plan is currently accepted.

This NPI record was last updated on May 10, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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