Active NPI
White Wolf Psychotherapy, LLC
- Professional Counselor
- Rio Rancho, NM
National Provider Identifier
1649183799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- WHITE WOLF PSYCHOTHERAPY, LLC
- Practice address
- 2806 Kings Canyon Loop NE
Rio Rancho, NM 87144-7829 - Phone
- (912) 271-9437
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shara Rivera, LPCC
- Title
- Owner
- Phone
- (912) 271-9437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2806 Kings Canyon Loop NE
Rio Rancho, NM 87144-7829
Mailing address
2806 Kings Canyon Loop NE
Rio Rancho, NM 87144-7829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22682589 | Medicaid | NM |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1649183799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2806 KINGS CANYON LOOP NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871447829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2806 KINGS CANYON LOOP NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871447829",
"telephone_number": "912-271-9437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE WOLF PSYCHOTHERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "SHARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-271-9437",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22682589",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.