Marcos Pena, LCSW, LADAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103362 Issued in TX

Practice address

1301 Country Club Rd
Santa Teresa, NM 88008-9431

Phone

(575) 332-4070

Fax

(833) 428-3821

NPI assigned

Jun 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marcos.pena.1@32342.direct.athenahealth.com

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.

• Luminous Mind Foundation Incorporated

  • Community/Behavioral Health Agency
  • Santa Teresa, NM
  • NPI 1841090925

  TX

  Medicare reassignment NPD Authorized official
• Luminous Mind, LLC.

  dba Luminous Mind Mental Health

  • Mental Health Counselor
  • Santa Teresa, NM
  • NPI 1215784616

  Addiction (Substance Use Disorder), TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1235753377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 COUNTRY CLUB RD",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089431",
            "telephone_number": "915-248-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 COUNTRY CLUB RD",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089431",
            "telephone_number": "575-332-4070",
            "fax_number": "833-428-3821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 E Yandell Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799033743",
            "country_code": "US",
            "telephone_number": "575-332-4070",
            "fax_number": "833-428-3821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "MARCOS",
        "credential": "LCSW, LADAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CTB-2023-0281",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0579",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Noelle Parker
• Passionate Minds Behavioral Health LLC
• Peak Behavioral Health
• Peak Behavioral Health Services LLC
• Annissa Danielle Pellicano
• Rosa Irma Pennington
• Mariana Perez
• Melissa Perez
• Teresa Perez
• Tlalli Raquel Perez

• Clinical Social Worker in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.