Desert Mountain Healing Iop

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

DESERT MOUNTAIN HEALING IOP

Practice address

3301 Southern Blvd SE Ste 105
Rio Rancho, NM 87124-5859

Phone

(505) 270-0840

NPI assigned

Apr 6, 2022

Last updated

Apr 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sean Roberts

Title

Owner

Phone

(505) 270-0840

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 6

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.

• Jennifer A Barela, PMHNP-BC

  • Nurse Practitioner
  • Silver City, NM
  • NPI 1831954841
  Medicare reassignment NPD
• Charles William Bennett, M.D.

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1548452915
  Medicare reassignment NPD
• Robert B Galligan Jr., M.ED., LPCC, LADAC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1578771929

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Robert L Cravens, LMHC

  • Professional Counselor
  • Rockledge, FL
  • NPI 1811136047

  NM

  Medicare reassignment NPD
• Susan Mills

  • Mental Health Counselor
  • Rio Rancho, NM
  • NPI 1073233342
  NPD
• Rachel Sinadinos, CPSW

  • Addiction (Substance Use Disorder) Counselor
  • Rio Rancho, NM
  • NPI 1831905652
  NPD

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1831830413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SOUTHERN BLVD SE STE 105",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245859",
            "telephone_number": "505-270-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SOUTHERN BLVD SE STE 105",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245859",
            "telephone_number": "505-270-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MOUNTAIN HEALING IOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-270-0840"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Ann Denton, LMT, NMT, TPMT
• Dependable Ride
• Amanda Frances Derylo, M.D.
• Desert Flower IV Hydration, LLC
• Desert Light Therapy Co
• Desert Rose Speech Therapy LLC
• Desert Sky Mental Health, LLC
• Desert Willow Therapy and Wellness, LLC
• Gretchen Deturck-Kofchur
• Kevin Deutsch

• Rehabilitation Clinic/Center in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Rehabilitation Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.