OrganizationActive
Jicarilla Apache Nation
NPI 1508051061 · Community/Behavioral Health Agency · Dulce, NM
Jicarilla Apache Nation is a Community/Behavioral Health Agency organization in Dulce, NM (NPI 1508051061).
Provider details
- NPI number
- 1508051061
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Levi Pesata, President(505) 759-3242
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
109 Seneca Drive
Dulce, NM 87528
Phone: (505) 759-3162
Fax: (505) 759-3588
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 546
Dulce, NM 87528-0546
Other names (DBA / former)
- Doing business as
- Jicarilla Behavioral Health
Registry dates
- Enumerated
- 2007-09-07
- Last updated
- 2007-09-07
Frequently asked questions
- What is Jicarilla Apache Nation's NPI number?
- Jicarilla Apache Nation's National Provider Identifier (NPI) is 1508051061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jicarilla Apache Nation?
- Jicarilla Apache Nation is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Jicarilla Apache Nation located?
- Jicarilla Apache Nation's practice location on file with NPPES is 109 Seneca Drive, Dulce, NM 87528.
- What is Jicarilla Apache Nation's phone number?
- The practice phone number listed in the NPPES registry for Jicarilla Apache Nation is (505) 759-3162.
- Who is the authorized official for Jicarilla Apache Nation?
- The authorized official listed on Jicarilla Apache Nation's NPPES record is Levi Pesata, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jicarilla Apache Nation's NPI active?
- Yes — Jicarilla Apache Nation's NPI (1508051061) is active in the NPPES registry as of the last update on 2007-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.