Sacred Space Therapy LLC
NPI 1174205777 · Clinical Social Worker · Albuquerque, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sacred Space Therapy LLC is a Clinical Social Worker organization in Albuquerque, NM (NPI 1174205777).
Provider details
- NPI number
- 1174205777
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Gloria Blea Johnson, Owner(505) 259-1737
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-02
- Last updated
- 2024-04-20
- Certified
- 2024-04-20
Frequently asked questions
- What is Sacred Space Therapy LLC's NPI number?
- Sacred Space Therapy LLC's National Provider Identifier (NPI) is 1174205777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sacred Space Therapy LLC?
- Sacred Space Therapy LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Sacred Space Therapy LLC located?
- Sacred Space Therapy LLC's practice location on file with NPPES is 2445 Iris Rd Nw, Albuquerque, NM 87104-3008.
- What is Sacred Space Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Sacred Space Therapy LLC is (505) 259-1737.
- Does Sacred Space Therapy LLC accept Medicare?
- Sacred Space Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sacred Space Therapy LLC?
- The authorized official listed on Sacred Space Therapy LLC's NPPES record is Gloria Blea Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sacred Space Therapy LLC's NPI active?
- Yes — Sacred Space Therapy LLC's NPI (1174205777) is active in the NPPES registry as of the last update on 2024-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.