OrganizationActive
Greater Santa Rosa Council on Alcoholism
NPI 1417370131 · Mental Health Clinic/Center (Including Community Mental Health Center) · Santa Rosa, NM
Provider details
- NPI number
- 1417370131
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cayetana Zamora, Executive Director of Operations(575) 472-5383
- License
- I-04593 (NM)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense I-04593 (NM)
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1047 Lake Dr
Santa Rosa, NM 88435-2561
Phone: (575) 472-5383
Fax: (575) 472-5384
Street-level locationGet directions
Mailing address
419 S 2nd St
Tucumcari, NM 88401-2859
Other names (DBA / former)
- Former legal business name
- Gsrcoa
- Former legal business name
- Gsrcoa
- Doing business as
- Professional Counseling Associates of New Mexico
Registry dates
- Enumerated
- 2014-01-31
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.