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

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: October 18, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mesa Vista Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Mesa Vista Wellness, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Clinical Social Worker
NPI 1831549955
7558 KACHINA LOOP
Santa Fe, NM 87507
(518) 428-6881
✔ PECOS✔ Accepts Medicare2.9 mi
Clinical Social Worker
NPI 1588127781
44 LAMY DOWNS
Lamy, NM 87540
(505) 216-6728
✔ PECOS✔ Accepts Medicare12 mi
Clinical Social Worker
NPI 1134598303
4 CAVE RD
Cerrillos, NM 87010
(505) 231-8550
✔ PECOS✔ Accepts Medicare17 mi
Clinical Social Worker
NPI 1497146690
199 NM HIGHWAY 50
Pecos, NM 87552
(505) 757-6482
✔ PECOS19 mi
Clinical Social Worker
NPI 1235347139
51 COUNTY ROAD 16
Espanola, NM 87532
(954) 478-6073
✔ PECOS✔ Accepts Medicare24 mi
Clinical Social Worker
NPI 1316281363
1302 CALLE DE LA MERCED
Espanola, NM 87532
(505) 747-0081
✔ PECOS26 mi
Clinical Social Worker
NPI 1477016590
3380 S ELM ST
Denver, CO 80222
(562) 508-6353
✔ PECOS✔ Accepts Medicare284 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 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.

Where is Earth Spirit Awakenings LLC located?

Earth Spirit Awakenings LLC is located at 4001 Office Court Dr Ste 102, Santa Fe, NM 87507. The listed phone number is (505) 983-8225.

What is Earth Spirit Awakenings LLC's specialty?

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

Is Earth Spirit Awakenings LLC enrolled in Medicare?

Yes. Earth Spirit Awakenings LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Earth Spirit Awakenings LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Earth Spirit Awakenings 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 Earth Spirit Awakenings LLC was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.