Organization Active NPI

Metta Bhavana LLC

  • Adult Mental Health Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1386370476
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
METTA BHAVANA LLC
Practice address
1328 Bishops Lodge Rd
Santa Fe, NM 87506-0002
Phone
(608) 561-7533
NPI assigned
Jul 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Devin James Coogan, LCSWNPI 1740762327
Title
Ownder
Phone
(505) 231-6658

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1328 Bishops Lodge Rd
Santa Fe, NM 87506-0002

Mailing address

1328 Bishops Lodge Rd
Santa Fe, NM 87506-0002
Phone (608) 561-7533

Other identifiers 1

IdentifierTypeStateIssuer
1740762327OtherWINATIONAL PLAN AND PROVIDER SYSTEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221019002614 WI Part B Supplier - Clinic/Group Practice 1557737368 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI

National Provider Directory

National Provider Directory
Tax ID family
Metta Bhavana LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

330 W Lakeside St
Madison, WI 53715
Phone (608) 561-7533

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": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1386370476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 BISHOPS LODGE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875060002",
            "telephone_number": "608-561-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 BISHOPS LODGE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875060002",
            "telephone_number": "608-561-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METTA BHAVANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "COOGAN",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "505-231-6658",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PLAN AND PROVIDER SYSTEM",
            "identifier": "1740762327",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.