NPIMap

Organization Active NPI

Wellness From Within PC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1346586989
Registry record updated Dec 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WELLNESS FROM WITHIN PC
Practice address
10052 Coors Blvd NW
Albuquerque, NM 87114-4020
Phone
(505) 459-0025
Fax
(505) 899-8372
NPI assigned
Jan 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2024

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

Authorized official

Name
Dr. Sandra Y. Herrera-Spinelli, LISW, DSWNPI 1194859330
Title
Executive Director
Phone
(505) 459-0025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10052 Coors Blvd NW
Albuquerque, NM 87114-4020

Mailing address

PO Box 66255
Albuquerque, NM 87193-6255
Phone (505) 459-0025

Other identifiers 1

IdentifierTypeStateIssuer
10157344MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220823002860 NM Part B Supplier - Clinic/Group Practice 2961885967 Receives reassigned benefits from 5 practitioners
Practice locations: Albuquerque, NM; Rio Rancho, NM

National Provider Directory

National Provider Directory

Locations

4601 Paradise Blvd NW
Ste 102
Albuquerque, NM 87114
Phone (505) 319-5912

900 Loma Colorado Blvd NE
Rio Rancho, NM 87124
Phone 33799192766511

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733011200000",
    "number": "1346586989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66255",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871936255",
            "telephone_number": "505-459-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10052 COORS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144020",
            "telephone_number": "505-459-0025",
            "fax_number": "505-899-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FROM WITHIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-01",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "HERRERA-SPINELLI",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-459-0025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LISW, DSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10157344",
            "state": "NM"
        }
    ],
    "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 Dec 1, 2024; 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.