NPIMap

Organization Active NPI

Mental Health Resources, Inc.

  • Mental Health Counselor
  • Clovis, NM
National Provider Identifier
1811049653
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENTAL HEALTH RESOURCES, INC.
Practice address
1100 W 21St St
Clovis, NM 88101-4151
Phone
(505) 769-2345
Fax
(505) 769-9013
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Lacy Keith, LPCCNPI 1821116294
Title
Ceo
Phone
(575) 769-2345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1100 W 21St St
Clovis, NM 88101-4151

Mailing address

1100 W 21St St
Clovis, NM 88101-4151
Phone (505) 769-2345

Other identifiers 1

IdentifierTypeStateIssuer
K4174MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729000639 NM Part B Supplier - Clinic/Group Practice 1759351414 Receives reassigned benefits from 6 practitioners
Practice locations: Clovis, NM

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Resources6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 S 2nd St
Tucumcari, NM 88401
Phone (505) 461-3013

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1811049653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W 21ST ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014151",
            "telephone_number": "505-769-2345",
            "fax_number": "505-769-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W 21ST ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014151",
            "telephone_number": "505-769-2345",
            "fax_number": "505-769-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "LACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-769-2345",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K4174",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.