Loving Embodiment LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LOVING EMBODIMENT LLC

Practice address

624 E Main St
Tucumcari, NM 88401-2250

Phone

(505) 307-6476

NPI assigned

Nov 13, 2024

Organization subpart

No

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

Authorized official

Name

Corrianne Broner, LPCCNPI 1861727992

Title

Owner, Head Therapist

Phone

(505) 307-6476

Specialties & licenses 1

Addresses

Other names 1

• Loving Embodiment LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

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

• Corrianne H Broner

  • Professional Counselor
  • Tucumcari, NM
  • NPI 1861727992
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1386468577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 107",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884010107",
            "telephone_number": "505-307-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E MAIN ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884012250",
            "telephone_number": "505-307-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING EMBODIMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "BRONER",
        "authorized_official_first_name": "CORRIANNE",
        "authorized_official_title_or_position": "OWNER, HEAD THERAPIST",
        "authorized_official_telephone_number": "505-307-6476",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loving Embodiment LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loving Embodiment LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maribel Angelique Lopez
• Nathan Lopez
• William J Lopez, BMS
• Priscilla Lovato
• Ted Lovato
• Alexandria Lucero
• June Lucero, ASSISTANT
• Sandy D. Maes, BMS
• Carlos G Marquez
• Dominic Marquez

• Community/Behavioral Health Agency in Tucumcari, NM
• Providers in Tucumcari, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.