MESA VISTA WELLNESS
NPI 1447490800
Community/Behavioral Health in Santa Fe, NM

Q: What is Earth Spirit Awakenings LLC's NPI number?

The NPI number for Earth Spirit Awakenings LLC is 1447490800. It was assigned to this organization in the NPPES registry on February 25, 2009. The provider is doing business as Mesa Vista Wellness.

Q: What is Earth Spirit Awakenings LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 25, 2009

4001 OFFICE COURT DR STE 102, SANTA FE, NM 87507(505) 983-8225 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2022, Jan 11, 2017 (2 updates tracked since 2017).

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About Mesa Vista Wellness NPPES

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

MESA VISTA WELLNESS (NPI 1447490800) is a healthcare organization registered as a community/behavioral health in Santa Fe, New Mexico and active in the NPI registry since February 2009. The organization maintains a secondary practice location in Espanola and lists Tod L Dicecco, Executive Director/owner, as its authorized official.

NPPES Registry Identity

NPI1447490800

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameEARTH SPIRIT AWAKENINGS LLC

Location Address4001 OFFICE COURT DR STE 102Santa Fe, NM 87507-4903

Mailing Address4001 Office Court Dr, Suite 102Santa Fe, NM 87507-4929 · (505) 983-8225

Phone(505) 983-8225

Organization SubpartNo

Authorized OfficialTod L DiceccoExecutive Director/owner · (505) 490-1984

Enumeration DateFebruary 25, 2009

Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2022

✔ NPI 1447490800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NM · 0119891

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

4001 OFFICE COURT DR STE 102, Santa Fe, NM 87507

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Other Names 1

Doing Business AsMesa Vista Wellness

Secondary Practice Location 1

Location 11302 Calle De La Merced Ste FEspanola, NM 87532-2630 · Phone (505) 983-8225 · Fax (505) 930-5427

Other Identifiers 1

Medicaid81024371NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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Other Providers at the Same Location NPPES 20

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

KATHY FLETCHER

Counselor (Mental Health)