ELEMENTAL HEALTH AND WELLNESS CENTER LLC
NPI 1891125183
Marriage & Family Therapist in Albuquerque, NM
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, maintains a secondary practice location in Albuquerque, and lists Anne Cannon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elemental Health And Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Elemental Health And Wellness Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (13)
Albuquerque, NM 87111
Albuquerque, NM 87131
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NMFrequently 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.
Is Elemental Health And Wellness Center LLC enrolled in Medicare?
Yes. Elemental Health And Wellness Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elemental Health And Wellness Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 5 Medicare specialties reassign their Medicare billing to Elemental Health And Wellness Center 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. The largest specialties are Nurse Practitioner (6), Mental Health Counselor (4) and Certified Nurse Midwife (CNM) (1). Of these, 2 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Elemental Health And Wellness Center Llc · NPI 1891125183
Marriage & Family Therapist organization in Albuquerque, New Mexico. Organization record, active in the CMS NPPES registry since November 22, 2013.
## Identity
- **NPI:** 1891125183 (Entity type: Organization)
- **Enumerated:** November 22, 2013
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Organization subpart:** No
- **Authorized official:** Anne Cannon, OWNER
## Practice location
- **Address:** 4425 JUAN TABO BLVD NE STE 112, Albuquerque, NM 87111-2684
- **Phone:** (505) 503-6800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Mental Health Counselor (4), Certified Nurse Midwife (CNM) (1); 2 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891125183) · Data from the CMS NPPES public registry.