Sally Belle Von Erffa, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

CMF0200791 Issued in NM

Practice address

7013 4TH St NW Ste C
Los Ranchos, NM 87107-6639

Phone

(505) 356-2200

Fax

(844) 272-7030

NPI assigned

Mar 24, 2009

Last updated

Dec 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revive Therapy Center LLC

  • Marriage & Family Therapist
  • Los Ranchos, NM
  • NPI 1457822462
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1265674154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 LOS RANCHOS RD NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076532",
            "telephone_number": "505-252-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 4TH ST NW STE C",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076639",
            "telephone_number": "505-356-2200",
            "fax_number": "844-272-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON ERFFA",
        "first_name": "SALLY",
        "middle_name": "BELLE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60533946",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC# 47140",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CMF0200791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lorraine Valles-Mora, MA, LPCC
• Sherilyn N Valles
• Danielle Vann
• Dominic D Villanueva, DOM
• Mary J Vitt, AUD., CCC-A
• Walgreen Co (Walgreens #07735)
• Dominic Weiler, FNP
• Benjamin Thomas White, RPH, PHC
• Martha White
• Kristen S. Wiese, MA, OTR/L

• Marriage & Family Therapist in Los Ranchos, NM
• Providers in Los Ranchos, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.