Active NPI
Milquella J Otero
- Mental Health Counselor
- El Paso, TX
National Provider Identifier
1043336928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- T0098721
- Practice address
- 6044 Gateway Blvd E Ste 405
El Paso, TX 79905-2037 - Phone
- (915) 779-5600
- Fax
- (915) 779-5605
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T0098721 | NM | Primary |
Addresses
Primary practice location
6044 Gateway Blvd E Ste 405
El Paso, TX 79905-2037
Mailing address
6621 Doniphan Dr Ste G
Canutillo, TX 79835-5005
Phone (915) 877-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VNM00241NI | Other | NM | NM MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0098721 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanecer Psychological Services | Past | Accepting new patients | |
| Amanecer Psychological Services | Past | Accepting new patients | |
| Sunwest Behavioral Associates PA | Mental Health | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Child & Adolescent Psychologist
- El Paso, TX
- NPI 1356435903
-
- Clinical Social Worker
- El Paso, TX
- NPI 1639373566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043336928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6621 DONIPHAN DR STE G",
"city": "CANUTILLO",
"state": "TX",
"postal_code": "798355005",
"telephone_number": "915-877-5100",
"fax_number": "915-877-5107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6044 GATEWAY BLVD E STE 405",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052037",
"telephone_number": "915-779-5600",
"fax_number": "915-779-5605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "MILQUELLA",
"middle_name": "J",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "T0098721",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM MEDICAID",
"identifier": "VNM00241NI",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.