ELEMENTAL HEALTH AND WELLNESS CENTER LLC
NPI 1891125183
Marriage & Family Therapist in Albuquerque, NM

Active since November 22, 2013CLIA 32D2251366 · Waiver
4425 JUAN TABO BLVD NE STE 112, ALBUQUERQUE, NM 87111(505) 503-6800 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2023, Nov 21, 2022, Dec 8, 2021 and 1 more (4 updates tracked since 2021).

About Elemental Health And Wellness Center Llc NPPES

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

ELEMENTAL HEALTH AND WELLNESS CENTER LLC (NPI 1891125183) is a healthcare organization registered as a marriage & family therapist in Albuquerque, New Mexico and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through February 1, 2028 and lists Anne Cannon, Owner, as its authorized official.

NPPES Registry Identity

NPI1891125183
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameELEMENTAL HEALTH AND WELLNESS CENTER LLC
Location Address4425 JUAN TABO BLVD NE STE 112Albuquerque, NM 87111-2684
Mailing Address4425 Juan Tabo Blvd Ne Ste 112Albuquerque, NM 87111-2684 · (505) 503-6800
Organization SubpartNo
Authorized OfficialAnne CannonOwner · (505) 503-6800
Enumeration DateNovember 22, 2013
Last NPPES UpdateOctober 13, 20234 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
NPI 1891125183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in NM · 0084711
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0112181 (NM)
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License CNP-02033 (NM)
4425 JUAN TABO BLVD NE STE 112, Albuquerque, NM 87111

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2251366

Elemental Health And Wellness Center LLC · Albuquerque, NM
Active · expires Feb 1, 2028
CLIA Number32D2251366
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorHeather C. Drager
Laboratory Phone(505) 503-6800
Laboratory LocationElemental Health And Wellness Center LLC9201 Montgomery Blvd, Bldg 3, Ste 301, Albuquerque, NM 87111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Psychiatric/Mental Health)
4425 JUAN TABO BLVD NE STE 112
ALBUQUERQUE, NM 87111
Counselor (Mental Health)
4425 JUAN TABO BLVD NE STE 112
ALBUQUERQUE, NM 87111
Nurse Practitioner (Psychiatric/Mental Health)
4425 JUAN TABO BLVD NE STE 112
ALBUQUERQUE, NM 87111

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 Elemental Health And Wellness Center LLC's NPI number?

The NPI number for Elemental Health And Wellness Center LLC is 1891125183. It was assigned to this organization in the NPPES registry on November 22, 2013.

Where is Elemental Health And Wellness Center LLC located?

Elemental Health And Wellness Center LLC is located at 4425 Juan Tabo Blvd NE Ste 112, Albuquerque, NM 87111. The listed phone number is (505) 503-6800.

What is Elemental Health And Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Does Elemental Health And Wellness Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2251366) is associated with this NPI, valid through February 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elemental Health And Wellness Center LLC was last updated on October 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.