Individual provider Active NPI

Joann Elizabeth Mitchell

  • Mental Health Counselor
  • Rio Rancho, NM
National Provider Identifier
1679173827
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CTB-2023-0079 Issued in NM
Practice address
620 Teresa CT SE
Rio Rancho, NM 87124-2382
Phone
(505) 417-3646
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CTB-2023-0079 NM Primary

Addresses

Primary practice location

620 Teresa CT SE
Rio Rancho, NM 87124-2382

Mailing address

620 Teresa CT SE
Rio Rancho, NM 87124-2382
Phone (505) 417-3646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240709000923 NM Practitioner - Mental Health Counselor 8123431657 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Compass Counseling LLC CurrentSince Apr 15, 2024 Accepting new patients
Inner Compass Counseling LLC PastSince May 26, 2024 Accepting new patients

Locations

12836 Lomas Blvd NE
Ste C
Albuquerque, NM 87112
Phone (505) 453-8984

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1679173827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 TERESA CT SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242382",
            "telephone_number": "505-417-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 TERESA CT SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242382",
            "telephone_number": "505-417-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JOANN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2023-0079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.