OrganizationActive
Lifespan Wellness LLC
NPI 1790180743 · Community/Behavioral Health Agency · Albuquerque, NM
Lifespan Wellness LLC is a Community/Behavioral Health Agency organization in Albuquerque, NM (NPI 1790180743).
Provider details
- NPI number
- 1790180743
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Erika Johnson-Jimenez, Psychologist(505) 386-0063
- License
- 4880277 (NM)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
8200 Mountain Rd Ne Ste 101
Albuquerque, NM 87110-7835
Phone: (505) 385-0161
Fax: (505) 544-4648
Approximate (ZIP-level) locationGet directions
Mailing address
8200 Mountain Rd Ne Ste 101
Albuquerque, NM 87110-7835
Registry dates
- Enumerated
- 2014-11-01
- Last updated
- 2022-07-21
Frequently asked questions
- What is Lifespan Wellness LLC's NPI number?
- Lifespan Wellness LLC's National Provider Identifier (NPI) is 1790180743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifespan Wellness LLC?
- Lifespan Wellness LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Lifespan Wellness LLC located?
- Lifespan Wellness LLC's practice location on file with NPPES is 8200 Mountain Rd Ne Ste 101, Albuquerque, NM 87110-7835.
- What is Lifespan Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Lifespan Wellness LLC is (505) 385-0161.
- Who is the authorized official for Lifespan Wellness LLC?
- The authorized official listed on Lifespan Wellness LLC's NPPES record is Erika Johnson-Jimenez, Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifespan Wellness LLC's NPI active?
- Yes — Lifespan Wellness LLC's NPI (1790180743) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.