Individual provider Active NPI

Michelle LD McPeek, LPCC

  • Mental Health Counselor
  • Rio Rancho, NM
National Provider Identifier
1154602787
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
184 Unser Blvd NE
Rio Rancho, NM 87124-4045
Phone
(505) 896-0928
NPI assigned
Sep 9, 2011
Last updated
Jul 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

184 Unser Blvd NE
Rio Rancho, NM 87124-4045

Mailing address

184 Unser Blvd NE
Rio Rancho, NM 87124-4045
Phone (505) 896-0928

Other practice location 1

8745 County Road 9 S
Alamosa, CO 81101-9610
Phone (719) 589-3671

Other names 1

  • Michelle Demko Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Feb 20, 2024 Accepting new patients
Presbyterian Medical Services CurrentSince Feb 20, 2024 Accepting new patients
Presbyterian Medical Services Current Accepting new patients

Locations

184 Unser Blvd NE
Rio Rancho, NM 87124
Phone (505) 896-0928

2300 Grande Blvd SE
Rio Rancho, NM 87124
Phone (505) 896-0928

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1154602787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 UNSER BLVD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244045",
            "telephone_number": "505-896-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 UNSER BLVD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244045",
            "telephone_number": "505-896-0928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8745 County Road 9 S",
            "address_purpose": "LOCATION",
            "city": "Alamosa",
            "state": "CO",
            "postal_code": "811019610",
            "country_code": "US",
            "telephone_number": "719-589-3671",
            "fax_number": "719-589-9136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPEEK",
        "first_name": "MICHELLE",
        "middle_name": "LD",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DEMKO",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.