Mimbres Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MIMBRES COUNSELING SERVICES, LLC

Practice address

23 Calle Blanca
Corrales, NM 87048-7825

Phone

(575) 621-0592

NPI assigned

Nov 18, 2020

Last updated

Nov 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Efstathia Yerende, LPCCNPI 1811396823

Title

Owner

Phone

(575) 621-0592

Specialties & licenses 1

Addresses

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.

• Efstathia Yerende

  • Professional Counselor
  • Lordsburg, NM
  • NPI 1811396823
  NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1235732660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CALLE BLANCA",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870487825",
            "telephone_number": "575-621-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CALLE BLANCA",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870487825",
            "telephone_number": "575-621-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMBRES COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "YERENDE",
        "authorized_official_first_name": "EFSTATHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-621-0592",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Carmillia McKinstry Ramsey
• Christine Mermilliod, MS LPC LMFT NCC LPCC
• Meta, Inc.
• Michael Mauldin, PH.D., L.L.C.
• Ann M Micono, LICENSE MASSAGE THER
• Erica Montoya-Heath, LCSW
• Leah Theresa Montoya
• Emory W Moore, LPCC
• Glenda Marie Moore, O. T.
• Naomi Moraga, CNP

• Professional Counselor in Corrales, NM
• Providers in Corrales, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.