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SACRED SPACE PSYCHOTHERAPY LLC
NPI 1306431754
Social Worker - Clinical in San Tan Valley, AZ

Active since March 08, 2021
1668 E POLLINO ST, SAN TAN VALLEY, AZ 85140(480) 734-3391(602) 641-8483 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2025, May 9, 2023, Mar 8, 2021 (3 updates tracked since 2021).

About Sacred Space Psychotherapy Llc NPPES

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

SACRED SPACE PSYCHOTHERAPY LLC (NPI 1306431754) is a healthcare organization registered as a clinical in San Tan Valley, Arizona and active in the NPI registry since March 2021. The organization maintains a secondary practice location in Gilbert and lists Christine M Hoffman, Member/owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1306431754
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSACRED SPACE PSYCHOTHERAPY LLC
Location Address1668 E POLLINO STSan Tan Valley, AZ 85140-7861
Mailing Address1668 E Pollino StSan Tan Valley, AZ 85140-7861 · (480) 734-3391 · Fax (602) 641-8483
Phone(480) 734-3391
Fax(602) 641-8483
Organization SubpartNo
Authorized OfficialChristine M HoffmanMember/owner/therapist · (480) 734-3391
Enumeration DateMarch 8, 2021
Last NPPES UpdateJune 24, 20253 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1306431754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
1668 E POLLINO ST, San Tan Valley, AZ 85140
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Secondary Practice Location 1

Location 13651 E Baseline Rd Ste E-222Gilbert, AZ 85234-2689 · Phone (480) 734-3391 · Fax (602) 641-8483

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sacred Space Psychotherapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sacred Space Psychotherapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Christine Hoffman, LCSW
Clinical Social Worker
NPI 1558657296
1668 E POLLINO ST
San Tan Valley, AZ 85140
(480) 734-3391
✔ PECOS✔ Accepts MedicareSame address

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 Sacred Space Psychotherapy LLC's NPI number?

The NPI number for Sacred Space Psychotherapy LLC is 1306431754. It was assigned to this organization in the NPPES registry on March 8, 2021.

Where is Sacred Space Psychotherapy LLC located?

Sacred Space Psychotherapy LLC is located at 1668 E Pollino St, San Tan Valley, AZ 85140. The listed phone number is (480) 734-3391.

What is Sacred Space Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sacred Space Psychotherapy LLC enrolled in Medicare?

Yes. Sacred Space Psychotherapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sacred Space Psychotherapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Sacred Space Psychotherapy 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sacred Space Psychotherapy LLC was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.