Active NPI
Vida Entera Therapeutic Services
- Community/Behavioral Health Agency
- Ribera, NM
National Provider Identifier
1922714591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2025
- 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
- Mr. Christopher David Aguilar, LPCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Professional Counselor
- Ribera, NM
- NPI 1164109088
-
- Mental Health Counselor
- Ribera, NM
- NPI 1467935593
-
- Mental Health Counselor
- Ribera, NM
- NPI 1164344511
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.