Organization Active NPI

The Lighted Path LLC

  • Community/Behavioral Health Agency
  • Edgewood, NM
National Provider Identifier
1306527577
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE LIGHTED PATH LLC
Practice address
215 Cowboy Way Ste 106
Edgewood, NM 87015-9616
Phone
(505) 508-7071
Fax
(505) 508-0771
NPI assigned
Jul 28, 2023
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Mandi Danielle Abernathy, MA, LPCCNPI 1235553769
Title
Director
Phone
(505) 508-7071

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

215 Cowboy Way Ste 106
Edgewood, NM 87015-9616

Mailing address

215 Cowboy Way Ste 106
Edgewood, NM 87015-9616
Phone (505) 508-7071

Other practice location 1

11005 Spain Rd NE Ste 4
Albuquerque, NM 87111-1871
Phone (505) 508-7071

Other identifiers 1

IdentifierTypeStateIssuer
N0029903MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251230002643 NM Part B Supplier - Clinic/Group Practice 6103312095 Receives reassigned benefits from 6 practitioners
Practice locations: Albuquerque, NM; Edgewood, NM

National Provider Directory

National Provider Directory

Locations

11005 Spain Rd NE
Ste 4
Albuquerque, NM 87111
Phone (505) 508-7071

11005 Spain Rd NE
Ste 5
Albuquerque, NM 87111
Phone (505) 226-0104

215 Cowboy Way
#106
Edgewood, NM 87015

215 Cowboy Way
Ste 106
Edgewood, NM 87015
Phone (505) 508-0771

499 NM 333
Unit 2468
Tijeras, NM 87059

Practitioners & affiliated clinicians

Practitioners 7

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": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1306527577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 COWBOY WAY STE 106",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870159616",
            "telephone_number": "505-508-7071",
            "fax_number": "505-508-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 COWBOY WAY STE 106",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870159616",
            "telephone_number": "505-508-7071",
            "fax_number": "505-508-0771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11005 Spain Rd NE Ste 4",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871111871",
            "country_code": "US",
            "telephone_number": "505-508-7071",
            "fax_number": "505-508-0771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE LIGHTED PATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "ABERNATHY",
        "authorized_official_first_name": "MANDI",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-508-7071",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0029903",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.