Active NPI
Stacy D Massengill-Munro, LPCC
- Mental Health Counselor
- Hobbs, NM
National Provider Identifier
1811429616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0126711
- Practice address
- 215 W Broadway St
Suite #1
Hobbs, NM 88240-6065 - Phone
- (575) 393-0692
- Fax
- (575) 393-0796
- NPI assigned
- Mar 30, 2017
- Last updated
- Mar 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0126711 | NJ | Primary |
Addresses
Primary practice location
215 W Broadway St
Suite #1
Hobbs, NM 88240-6065
Mailing address
801 W Sayers Dr
Hobbs, NM 88240-3714
Phone (575) 318-8269
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0126711 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zia Consulting, Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1811429616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W SAYERS DR",
"city": "HOBBS",
"state": "NM",
"postal_code": "882403714",
"telephone_number": "575-318-8269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W BROADWAY ST",
"address_2": "SUITE #1",
"city": "HOBBS",
"state": "NM",
"postal_code": "882406065",
"telephone_number": "575-393-0692",
"fax_number": "575-393-0796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSENGILL-MUNRO",
"first_name": "STACY",
"middle_name": "D",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-30",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "0126711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hobbs, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.