Active NPI
Terry Maynes Licensed Professional Clinical Counselor
- Community/Behavioral Health Agency
- Arenas Valley, NM
National Provider Identifier
1003171364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0144471
- Legal business name
- TERRY MAYNES LICENSED PROFESSIONAL CLINICAL COUNSELOR
- Practice address
- 120 Arenas Valley Rd
Terry Maynes
Arenas Valley, NM 88022 - Phone
- (575) 313-3698
- NPI assigned
- Jul 11, 2012
- Last updated
- Jul 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Terry M Maynes, LPCC
- Title
- Clinical Counselor
- Phone
- (575) 313-3698
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0144471 | NM | Primary |
Addresses
Primary practice location
120 Arenas Valley Rd
Terry Maynes
Arenas Valley, NM 88022
Mailing address
120 Arenas Valley
Terry Maynes
Arenas Valley, NM 88022
Phone (575) 313-3698
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Silver City, NM
- NPI 1124351911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341964800000",
"number": "1003171364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 ARENAS VALLEY",
"address_2": "TERRY MAYNES",
"city": "ARENAS VALLEY",
"state": "NM",
"postal_code": "88022",
"telephone_number": "575-313-3698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ARENAS VALLEY RD",
"address_2": "TERRY MAYNES",
"city": "ARENAS VALLEY",
"state": "NM",
"postal_code": "88022",
"telephone_number": "575-313-3698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRY MAYNES LICENSED PROFESSIONAL CLINICAL COUNSELOR",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-11",
"last_updated": "2012-07-11",
"status": "A",
"authorized_official_last_name": "MAYNES",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CLINICAL COUNSELOR",
"authorized_official_telephone_number": "575-313-3698",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NM",
"license": "0144471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arenas Valley, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.