Active NPI
Lifesphere LLC
- Community/Behavioral Health Agency
- Santa Fe, NM
National Provider Identifier
1114509437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIFESPHERE LLC
- Practice address
- 532 Don Gaspar Ave
Santa Fe, NM 87505-2626 - Phone
- (505) 983-0693
- Fax
- (505) 393-3070
- NPI assigned
- Apr 26, 2021
- 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
- Adonata Pyaga
- Title
- Manager
- Phone
- (505) 983-0693
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
532 Don Gaspar Ave
Santa Fe, NM 87505-2626
Mailing address
5 Bisbee CT Ste 109
Santa Fe, NM 87508-1419
Phone (505) 983-0693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5 Bisbee Ct
Ste 109
Santa Fe, NM 87508
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Santa Fe, NM
- NPI 1710495940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706227200000",
"number": "1114509437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BISBEE CT STE 109",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875081419",
"telephone_number": "505-983-0693",
"fax_number": "505-393-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 DON GASPAR AVE",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052626",
"telephone_number": "505-983-0693",
"fax_number": "505-393-3070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESPHERE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-26",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A",
"authorized_official_last_name": "PYAGA",
"authorized_official_first_name": "ADONATA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "505-983-0693"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
- Life Enhancement Chiropractic, Inc.
- Lifecare Health & Wellness
- Lifecare Health Services LLC
- Lifeskills Physical Therapy and Rehabilitation, LLC
- Lifespan Therapy Services, Inc.
- Lifted Clinical Practice, PLLC
- Light Harmonics Institute
- Light on Life Counseling & Wellness
- Estilla Lightfoot, LMSW
- Diana Lightmoon, MA, LPCC, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.