Revive Therapy Center LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

REVIVE THERAPY CENTER LLC

Practice address

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

Phone

(505) 356-2200

Fax

(844) 272-7030

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Sally Von Erffa, LMFTNPI 1265674154

Title

Marriage and Family Therapist

Phone

(505) 252-6797

Specialties & licenses 1

Addresses

Other names 1

• Temenos Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

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.

• Sally Belle Von Erffa, LMFT

  • Marriage & Family Therapist
  • Los Ranchos, NM
  • NPI 1265674154
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1457822462",
    "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": {
        "organization_name": "REVIVE THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "VON ERFFA",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "505-252-6797",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temenos Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sonia Rascon, MASSAGE THERAPIST
• Jay Suman Raval, M.D.
• James Beckner Ray, DDS
• Real Help Home Health Care (Home Care for the 21st Century Albuquerque)
• Kirsti Reed, DOM
• Melanie Lynn Richardson, DOM
• Kyleigh Ann Rivera, MA, LMHC
• Robyn E. Admire, LCSW, LLC
• Eliabeth Rodriguez
• Sacred Roots Pelvic Health and Physical Therapy LLC

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.