Organization Active NPI

Aka Therapy LLC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1558036327
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AKA THERAPY LLC
Practice address
6330 Riverside Plaza LN NW Ste 160
Albuquerque, NM 87120-2682
Phone
(505) 444-4127
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Mrs. Afton Fisk Sparrow, LPCC, LPAT, ATR-BCNPI 1619508850
Title
Co-Owner
Phone
(505) 633-8103

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X

Addresses

Primary practice location

6330 Riverside Plaza LN NW Ste 160
Albuquerque, NM 87120-2682

Mailing address

6330 Riverside Plaza LN NW Ste 160
Albuquerque, NM 87120-2682
Phone (505) 444-4127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260519003126 NM Part B Supplier - Clinic/Group Practice 2567859648 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

6330 Riverside Plaza Ln NW
Ste 160
Albuquerque, NM 87120
Phone (505) 444-4127

Practitioners & affiliated clinicians

Practitioners 4

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": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1558036327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 RIVERSIDE PLAZA LN NW STE 160",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202682",
            "telephone_number": "505-444-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 RIVERSIDE PLAZA LN NW STE 160",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202682",
            "telephone_number": "505-444-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "FISK SPARROW",
        "authorized_official_first_name": "AFTON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "505-633-8103",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC, LPAT, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jun 22, 2022; 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.