Kathleen Ann Minton, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

70742 Issued in NM

Practice address

224 Anthony Dr
Anthony, NM 88021-9366

Phone

(817) 528-5260

NPI assigned

May 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kam McCulloch Former name

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Amanecer Community Counseling CenterGroup PAC ID 4486938446, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Amanecer Community Counseling Center

  • Community/Behavioral Health Agency
  • Santa Teresa, NM
  • NPI 1033663984
  Medicare reassignment Care Compare group
• Amanecer Community Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Anthony, NM
  • NPI 1669928982
  NPD (past)

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1548617566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 OAK TREE CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799323140",
            "telephone_number": "817-528-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ANTHONY DR",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880219366",
            "telephone_number": "817-528-5260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "477 Oak Tree Ct",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799323140",
            "country_code": "US",
            "telephone_number": "817-528-5260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Fourth St",
            "address_purpose": "LOCATION",
            "city": "Anthony",
            "state": "NM",
            "postal_code": "880218253",
            "country_code": "US",
            "telephone_number": "575-882-4561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTON",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "TX",
            "license": "889319",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "70742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAM",
            "last_name": "MCCULLOCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aracely Mendoza
• Christy Mendoza, BCH
• Zulma Yadira Mendoza
• Roxana Mercado, LMHC
• Haley Michlitsch, LMHC
• Ernest Molina, BSW
• Lazaro Arturo Molina, LPC
• Carlos J Mondragon
• Griselda Monreal, BSW INTERN
• Monique Renee Monsisvais, BCH

• Psychiatric/Mental Health Nurse Practitioner in Anthony, NM
• Providers in Anthony, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.