Sacred Space Psychotherapy LLC
NPI 1306431754ActiveOrganization· Social Worker, Clinical· San Tan Valley, AZ
Social Worker, Clinical in San Tan Valley, Arizona, registered in NPPES in March 2021. The authorized official on file is Christine M. Hoffman, LCSW, Member/Owner/Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306431754 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 8, 2021 |
| Last updated in NPPES | Jun 24, 2025 |
| Certified by provider | Jun 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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