Mended House Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MENDED HOUSE COUNSELING

Practice address

3916 Augusta Dr SE
Rio Rancho, NM 87124-8246

Phone

(505) 903-9510

NPI assigned

Jul 14, 2021

Organization subpart

No

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

Authorized official

Name

Stacey Demarey, LCSWNPI 1598160020

Title

Partner

Phone

(505) 903-9510

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Demarey, LCSW

  • Clinical Social Worker
  • Rio Rancho, NM
  • NPI 1598160020

  Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Therese Ann Moreno, PLMSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1477071611
  Medicare reassignment Care Compare group NPD
• Sarah Jane Ho, LPCC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1477049856

  Mental Health

  NPD
• Theresa Howles

  • Clinical Social Worker
  • Rio Rancho, NM
  • NPI 1649087990
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1467024992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 AUGUSTA DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871248246",
            "telephone_number": "505-903-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 AUGUSTA DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871248246",
            "telephone_number": "505-903-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED HOUSE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "DEMAREY",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "505-903-9510",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "stacey@mendedhouse.org",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "3916 Augusta Dr SE",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871248246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Nicole Melendez, LMT
• Phillip P Melendez
• Viviana Melero
• Tara Melograna, CCSW
• Raiza Stephanie Mena, CRNA
• Amber Mendoza
• Davianna Mendoza
• Syerra Mendoza
• Amber Menke, PA-C
• Menm LLC

• Mental Health Counselor in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.