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Mossy Pine Therapy LLC

NPI 1568991453ActiveOrganization· Community/Behavioral Health· Las Vegas, NM

Community/Behavioral Health in Las Vegas, New Mexico, registered in NPPES in June 2017. The authorized official on file is Felicia Jacqueline Rivera, Director.

Overview

NPI1568991453
StatusActive
Entity typeOrganization
NPI issuedJun 6, 2017
Last updated in NPPESSep 1, 2026
Certified by providerSep 1, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Community/Behavioral Health Primary251S00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Community/Behavioral Health providers in Las Vegas

All Community/Behavioral Health providers in New Mexico →