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SOVEREIGN SELF, LLC
NPI 1366237901
Counselor - Mental Health in Albuquerque, NM

Active since April 14, 2025
3620 WYOMING BLVD NE STE 218, ALBUQUERQUE, NM 87111(720) 446-6563 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sovereign Self, Llc NPPES

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

SOVEREIGN SELF, LLC (NPI 1366237901), doing business as Sovereign Self Mental Health, is a healthcare organization registered as a mental health in Albuquerque, New Mexico and active in the NPI registry since April 2025. The organization lists Nina Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1366237901
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSOVEREIGN SELF, LLC
Location Address3620 WYOMING BLVD NE STE 218Albuquerque, NM 87111-3289
Mailing Address3620 Wyoming Blvd Ne Ste 218Albuquerque, NM 87111-3289 · (308) 778-7020
Phone(720) 446-6563
Organization SubpartNo
Authorized OfficialNina WilsonOwner · (308) 778-7020
Enumeration DateApril 14, 2025
Last NPPES UpdateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1366237901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3620 WYOMING BLVD NE STE 218, Albuquerque, NM 87111
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Other Names 2

Doing Business AsSovereign Self Mental Health
Doing Business AsSovereign Self Mental Health And Self Care Lounge

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NINA WILSON LPC
Counselor (Professional)
3620 WYOMING BLVD NE STE 218
ALBUQUERQUE, NM 87111
Bernalillo County (720) 446-6563

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 Sovereign Self, LLC's NPI number?

The NPI number for Sovereign Self, LLC is 1366237901. It was assigned to this organization in the NPPES registry on April 14, 2025. The provider is doing business as Sovereign Self Mental Health and Sovereign Self Mental Health and Self Care Lounge.

Where is Sovereign Self, LLC located?

Sovereign Self, LLC is located at 3620 Wyoming Blvd NE Ste 218, Albuquerque, NM 87111. The listed phone number is (720) 446-6563.

What is Sovereign Self, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Sovereign Self, LLC was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.