Organization Active NPI

Terry Maynes Licensed Professional Clinical Counselor

  • Community/Behavioral Health Agency
  • Arenas Valley, NM
National Provider Identifier
1003171364
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0144471 Issued in NM
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Terry M Maynes, LPCCNPI 1124351911
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.