Mental Health Stop LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MENTAL HEALTH STOP LLC

Practice address

1096 Mechem Dr Ste 213
Ruidoso, NM 88345-7068

Phone

(575) 223-8184

NPI assigned

Sep 13, 2019

Organization subpart

No

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

Authorized official

Name

Mari Lynn Scarlett Gutierrez, LCSWNPI 1831501147

Title

Registered Agent & Co-Owner

Phone

(575) 223-8184

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

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

• Mari Lynn Scarlett Gutierrez, LCSW

  • Clinical Social Worker
  • Ruidoso, NM
  • NPI 1831501147
  Medicare reassignment Care Compare group NPD Authorized official
• Erique Emmanuel Gutierrez, LCSW

  • Clinical Social Worker
  • Ruidoso, NM
  • NPI 1376858241
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1760032577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 MECHEM DR STE 213",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457068",
            "telephone_number": "575-223-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 MECHEM DR STE 213",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457068",
            "telephone_number": "575-223-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH STOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MARI LYNN",
        "authorized_official_middle_name": "SCARLETT",
        "authorized_official_title_or_position": "REGISTERED AGENT & CO-OWNER",
        "authorized_official_telephone_number": "575-223-8184",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee McEwen
• David Lee McMinn, DC
• Lola June McVey
• Alexis Christianna Meliniotis, PHARMD
• Mend Inc. (Casa Alegre)
• Susan Margaret Messal, LPCC
• Michael P. Clements MD
• Mickie Reynolds (Home Health Unlimited)
• Peter Dylan Midkiff, D.D.S.
• Beth Miller, BA, LMT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.