Monica Banuelos

Primary specialty

CounselorTaxonomy code 101Y00000X

License

T-0161201 Issued in NM

Practice address

1100 W 21St St
Clovis, NM 88101-4151

Phone

(575) 769-2345

Fax

(575) 769-8974

NPI assigned

Nov 1, 2013

Last updated

Nov 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health Resources, Inc.

  • Mental Health Counselor
  • Clovis, NM
  • NPI 1811049653
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1073942934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W 21ST ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014151",
            "telephone_number": "575-769-2345",
            "fax_number": "575-769-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W 21ST ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014151",
            "telephone_number": "575-769-2345",
            "fax_number": "575-769-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANUELOS",
        "first_name": "MONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "T-0161201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewie Evan Baker, MSW
• Seth Sebastian Baker, LCSW
• Sidney Alexis Baker, LMSW
• Sylvia Baltazar, LCSW
• Eric M. Banagay, LISW, LADAC
• Kirsten Barber
• Molly Kiernan Barbieri, APRN
• Edie Barela, LMHC
• Cambree Bargas
• Michelle Bargas

• Counselor in Clovis, NM
• Providers in Clovis, NM by specialty
• Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.