Organization Active NPI

Inner Flame Wellness, LLC

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1184499238
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Anna Louise VigilNPI 1790203479
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
80081045MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240911000319 NM Part B Supplier - Clinic/Group Practice 6204376759 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.