Individual provider Active NPI

Melvin Gabriel Anaya, LMHC, LADAC

  • Professional Counselor
  • Roswell, NM
National Provider Identifier
1649616772
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0193371 Issued in NM
Practice address
613 W 2ND St Ste 4
Roswell, NM 88201
Phone
(575) 317-5571
NPI assigned
May 15, 2013
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0092621 NM
Mental Health Counselor 101YM0800X 0117781 NM
Professional Counselor 101YP2500X CCMH0193371 NM Primary

Addresses

Primary practice location

613 W 2ND St Ste 4
Roswell, NM 88201

Mailing address

PO Box 8075
Roswell, NM 88202-8075
Phone (575) 317-5571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0092621NMMDAddiction (Substance Use Disorder) Counselor
0117781NMMDMental Health Counselor
CCMH0193371NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anaya Counseling CurrentSince Jun 1, 2020 Accepting new patients
Melvin G Anaya Mental Health CurrentSince Jan 19, 2025 Accepting new patients

Locations

613 W 2nd St
Ste 4
Roswell, NM 88201
Phone (575) 317-5571

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1649616772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8075",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882028075",
            "telephone_number": "575-317-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 W 2ND ST STE 4",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-317-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAYA",
        "first_name": "MELVIN",
        "middle_name": "GABRIEL",
        "name_prefix": "Mr.",
        "credential": "LMHC, LADAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0092621",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0117781",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0193371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.