Organization Active NPI

Sacred Circles of Healing and Wellness LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tuba City, AZ
National Provider Identifier
1942047253
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SACRED CIRCLES OF HEALING AND WELLNESS LLC
Practice address
50 N. Main St
Tuba City, AZ 86045
Phone
(928) 266-3715
NPI assigned
Jul 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Coleen Chatter, MANPI 1427600774
Title
Ceo/Owner
Phone
(928) 266-3715

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

50 N. Main St
Tuba City, AZ 86045

Mailing address

PO Box 4074
Tuba City, AZ 86045-4074
Phone (928) 266-3715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251021001403 AZ Part B Supplier - Clinic/Group Practice 6800384025 Receives reassigned benefits from 1 practitioner
Practice locations: Tuba City, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2330480Sacred Circles of Healing & Wellness50 Main St, Tuba City, AZ 86045Certificate of waiverSep 15, 2027

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.

NPI Registry JSON

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1942047253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4074",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860454074",
            "telephone_number": "928-266-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N. MAIN ST",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "86045",
            "telephone_number": "928-266-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED CIRCLES OF HEALING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "CHATTER",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "928-266-3715",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuba City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.