Active NPI
Gary Jon Menchey, MSW, LCDC, QMHP-CS
- Addiction (Substance Use Disorder) Counselor
- El Paso, TX
National Provider Identifier
1235665910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11702
- Practice address
- 4521 Cupid Dr
El Paso, TX 79924-1723 - Phone
- (915) 747-3605
- NPI assigned
- May 2, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11702 | TX | Primary |
Addresses
Primary practice location
4521 Cupid Dr
El Paso, TX 79924-1723
Mailing address
4521 Cupid Dr
El Paso, TX 79924-1723
Phone (915) 747-3605
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 |
|---|---|---|---|
| 11702 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1235665910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4521 CUPID DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799241723",
"telephone_number": "915-747-3605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4521 CUPID DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799241723",
"telephone_number": "915-747-3605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENCHEY",
"first_name": "GARY",
"middle_name": "JON",
"credential": "MSW, LCDC, QMHP-CS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-02",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "11702",
"primary": true
}
],
"identifiers": [],
"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 May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.