Organization Active NPI

Vida Entera Therapeutic Services

  • Community/Behavioral Health Agency
  • Ribera, NM
National Provider Identifier
1922714591
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VIDA ENTERA THERAPEUTIC SERVICES
Practice address
12 Sagebrush Way
Ribera, NM 87560-8014
Phone
(575) 421-0510
Fax
(855) 947-2816
NPI assigned
Jan 26, 2023
Last updated
Dec 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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

Authorized official

Name
Mr. Christopher David Aguilar, LPCCNPI 1164109088
Title
Co-Owner
Phone
(575) 421-0510

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
Professional Counselor 101YP2500X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

12 Sagebrush Way
Ribera, NM 87560-8014

Mailing address

PO Box 397
Ribera, NM 87560-0397
Phone (575) 421-0510

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765584000000",
    "number": "1922714591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "RIBERA",
            "state": "NM",
            "postal_code": "875600397",
            "telephone_number": "575-421-0510",
            "fax_number": "855-947-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SAGEBRUSH WAY",
            "city": "RIBERA",
            "state": "NM",
            "postal_code": "875608014",
            "telephone_number": "575-421-0510",
            "fax_number": "855-947-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA ENTERA THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "575-421-0510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ribera, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.