Organization Active NPI

Flow de Vida

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1174418131
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLOW DE VIDA
Practice address
5301 Thomas Dr NE
Albuquerque, NM 87111-1953
Phone
(505) 267-8934
NPI assigned
Jun 10, 2025
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Angelica Pena Fernandez, MS, LPCC.NPI 1962872606
Title
Owner, Ceo.
Phone
(505) 267-8934

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5301 Thomas Dr NE
Albuquerque, NM 87111-1953

Mailing address

5301 Thomas Dr NE
Albuquerque, NM 87111-1953
Phone (505) 267-8934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250724002153 NM Part B Supplier - Clinic/Group Practice 0042727166 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1174418131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 THOMAS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111953",
            "telephone_number": "505-267-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 THOMAS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111953",
            "telephone_number": "505-267-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOW DE VIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "PENA FERNANDEZ",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "OWNER, CEO.",
        "authorized_official_telephone_number": "505-267-8934",
        "authorized_official_credential": "MS, LPCC."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.

Verify at the official NPI Registry.