LA LUZ PROVIDER AGENCY LLC
NPI 1245692102
Specialist in Santa Fe, NM

Q: What is La Luz Provider Agency LLC's NPI number?

The NPI number for La Luz Provider Agency LLC is 1245692102. It was assigned to this organization in the NPPES registry on March 22, 2016.

Q: What is La Luz Provider Agency LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 22, 2016

501 FRANKLIN AVE UNIT 6, SANTA FE, NM 87501(505) 660-3484 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2024, Nov 8, 2024, Mar 22, 2016 (3 updates tracked since 2016).

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About La Luz Provider Agency Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA LUZ PROVIDER AGENCY LLC (NPI 1245692102) is a healthcare organization registered as a specialist in Santa Fe, New Mexico and active in the NPI registry since March 2016. The organization lists Cheryl Sciacca, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1245692102

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameLA LUZ PROVIDER AGENCY LLC

Location Address501 FRANKLIN AVE UNIT 6Santa Fe, NM 87501-3617

Mailing AddressPo Box 34091Santa Fe, NM 87594-4091 · (505) 660-3484

Phone(505) 660-3484

Organization SubpartNo

Authorized OfficialCheryl SciaccaCo-owner · (505) 660-3484

Enumeration DateMarch 22, 2016

Last NPPES UpdateNovember 14, 20243 updates tracked since enumeration

NPPES CertifiedNovember 14, 2024

✔ NPI 1245692102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedArt TherapistTaxonomy 221700000X

501 FRANKLIN AVE UNIT 6, Santa Fe, NM 87501

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Other Identifiers 1

Medicaid96838272NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Luz Provider Agency Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to La Luz Provider Agency LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Cheryl Sciacca, MA, LPCC

Mental Health Counselor

NPI 1366693038

1919 5TH ST SUITE M AND N
Santa Fe, NM 87505

(505) 660-3484

✔ PECOS✔ Accepts Medicare1.9 mi

Cynthia Rank Ballas, MA LPC

Mental Health Counselor

NPI 1043436538

615 E LINCOLN ST
Las Vegas, NM 87701

(505) 426-8095

✔ PECOS✔ Accepts Medicare42 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Luz Provider Agency LLC's NPI number?

The NPI number for La Luz Provider Agency LLC is 1245692102. It was assigned to this organization in the NPPES registry on March 22, 2016.

Where is La Luz Provider Agency LLC located?

La Luz Provider Agency LLC is located at 501 Franklin Ave Unit 6, Santa Fe, NM 87501. The listed phone number is (505) 660-3484.

What is La Luz Provider Agency LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is La Luz Provider Agency LLC enrolled in Medicare?

Yes. La Luz Provider Agency LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Luz Provider Agency LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Mental Health Counselor, reassign their Medicare billing to La Luz Provider Agency LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for La Luz Provider Agency LLC was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.