Individual provider Active NPI

Beatriz Y Nava-Mendoza, LPCC

  • Professional Counselor
  • Socorro, NM
National Provider Identifier
1801454764
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CBT-2022-0723 Issued in NM
Practice address
1200 Highway 60
Socorro, NM 87801-3914
Phone
(575) 835-2444
NPI assigned
Jun 4, 2019
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T-CTL020211 NM
Professional Counselor 101YP2500X CBT-2022-0723 NM Primary

Addresses

Primary practice location

1200 Highway 60
Socorro, NM 87801-3914

Mailing address

PO Box 236
Lemitar, NM 87823-0236

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
I20240402002970 NM Practitioner - Mental Health Counselor 9638517279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Medical ServicesGroup PAC ID 2062324684, 132 clinicians

Practice addresses (Care Compare)

5501 Wilshire Ave NE C
PMS Engagement Center
Albuquerque, NM 87113-2569
Phone (505) 237-4020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-CTL020211NMMDMental Health Counselor
CBT-2022-0723NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Feb 20, 2024 Accepting new patients
Presbyterian Medical Services CurrentSince Feb 20, 2024 Accepting new patients
Presbyterian Medical Services Current Accepting new patients

Locations

5501 Wilshire Ave NE
Ste C
Albuquerque, NM 87113
Phone (505) 237-4020

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

1200 Highway 60
Socorro, NM 87801
Phone (575) 835-2444

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, 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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1801454764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "LEMITAR",
            "state": "NM",
            "postal_code": "878230236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGHWAY 60",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878013914",
            "telephone_number": "575-835-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVA-MENDOZA",
        "first_name": "BEATRIZ",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-CTL020211",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CBT-2022-0723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Socorro, NM

Sources for this page

Verify at the official NPI Registry.