Individual provider Active NPI

Sparo Arika Vigil

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1174190359
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
T-CTL0216941 Issued in NM
Practice address
2325 Cerrillos Rd
Santa Fe, NM 87505-3373
Phone
(505) 438-0010
Fax
(505) 438-6011
NPI assigned
Jun 7, 2021
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X T-CTL0216941 NM Primary

Addresses

Primary practice location

2325 Cerrillos Rd
Santa Fe, NM 87505-3373

Mailing address

2325 Cerrillos Rd
Santa Fe, NM 87505-3373
Phone (505) 438-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231211002932 NM Practitioner - Mental Health Counselor 5092164400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Life LinkGroup PAC ID 7012078199, 13 clinicians

Practice addresses (Care Compare)

2325 Cerrillos Rd
Santa Fe, NM 87505-3377
Phone (505) 438-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-CTL0216941NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Life Link Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1174190359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053373",
            "telephone_number": "505-438-0010",
            "fax_number": "505-438-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053373",
            "telephone_number": "505-438-0010",
            "fax_number": "505-438-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "SPARO",
        "middle_name": "ARIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-CTL0216941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.