Active NPI
Inner Flame Wellness, LLC
- Clinical Social Worker
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- INNER FLAME WELLNESS, LLC
- Practice address
- 525 S Melendres St
Las Cruces, NM 88005-2805 - Phone
- (575) 636-7117
- NPI assigned
- Nov 20, 2023
- 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
- Anna Louise Vigil
- Title
- Owner/Provider
- Phone
- (575) 636-7117
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
525 S Melendres St
Las Cruces, NM 88005-2805
Mailing address
111 Cadena St
Mesquite, NM 88048-9348
Phone (575) 636-7117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80081045 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1510 S Solano Dr
Ste B
Las Cruces, NM 88001
Phone (575) 636-7117
525 S Melendres St
Las Cruces, NM 88005
Phone (575) 526-3437
225 E Idaho Ave
Ste 3
Las Cruces, NM 88005
Phone (575) 571-4390
Practitioners & 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
- Las Cruces, NM
- NPI 1790203479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743552000000",
"number": "1184499238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CADENA ST",
"city": "MESQUITE",
"state": "NM",
"postal_code": "880489348",
"telephone_number": "575-636-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 S MELENDRES ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052805",
"telephone_number": "575-636-7117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNER FLAME WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-20",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A",
"authorized_official_last_name": "VIGIL",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "575-636-7117"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80081045",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.