Passionate Minds Behavioral Health LLC
NPI 1205675154ActiveOrganization· Social Worker, Clinical· Santa Teresa, NM
Social Worker, Clinical in Santa Teresa, New Mexico, registered in NPPES in May 2024. The authorized official on file is Matthew Bryan, LCSW, Owner.
Overview
| NPI | 1205675154 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2024 |
| Last updated in NPPES | May 21, 2024 |
| Certified by provider | May 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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