Active NPI
Phoenix Supports, LLC
- Community/Behavioral Health Agency
- Rio Rancho, NM
National Provider Identifier
1053020123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PHOENIX SUPPORTS, LLC
- Practice address
- 1005 21St St SE Ste B
Rio Rancho, NM 87124-4030 - Phone
- (505) 353-2061
- NPI assigned
- Nov 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raquel Guzman Vega, LMSW
- Title
- Owner
- Phone
- (505) 353-2061
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1005 21St St SE Ste B
Rio Rancho, NM 87124-4030
Mailing address
PO Box 15248
Rio Rancho, NM 87174-0248
Phone (505) 353-2061
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Rio Rancho, NM
- NPI 1861994774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749772800000",
"number": "1053020123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15248",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871740248",
"telephone_number": "505-353-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 21ST ST SE STE B",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244030",
"telephone_number": "505-353-2061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX SUPPORTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-17",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A",
"authorized_official_last_name": "GUZMAN VEGA",
"authorized_official_first_name": "RAQUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-353-2061",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.