Mental Health Wellness Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MENTAL HEALTH WELLNESS CENTER LLC

Practice address

3855 Foothills Rd Ste C
Las Cruces, NM 88011

Phone

(575) 520-2861

Fax

(575) 652-4937

NPI assigned

Jan 30, 2017

Last updated

Jan 15, 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

Bill Lafreniere

Title

Credentialing Manager

Phone

(575) 532-1888

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 3

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.

• Petrina Nelson, M.A.

  • Mental Health Counselor
  • Las Cruces, NM
  • NPI 1053508689
  Medicare reassignment Care Compare group NPD
• Nora B Toftely-Loken, LPC

  • Mental Health Counselor
  • Las Cruces, NM
  • NPI 1871606046
  Medicare reassignment Care Compare group NPD
• Jennelle Dawn Hindash, LCSW

  • Clinical Social Worker
  • Las Cruces, NM
  • NPI 1033247275
  Medicare reassignment

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1457898348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 FOOTHILLS RD STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114772",
            "telephone_number": "575-520-2861",
            "fax_number": "575-652-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 FOOTHILLS RD STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-520-2861",
            "fax_number": "575-652-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "LAFRENIERE",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "575-532-1888"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53627580",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica R. Mendoza, LPCC
• Yuridia Mendoza, M.A.,CCC-SLP
• Dale Menges, RPHD
• Neeraja Menon
• Mental Health Services of Dona Ana County
• Mentele Healthy LLC
• Camilo Mera
• Meraz Family Health LLC
• Hector Jonathan Meraz, CSW
• Jacqueline M Meraz

• Community/Behavioral Health Agency in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.