Michelle Medina, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTB-2022-0262 Issued in NM

Practice address

6582 E Main St
Farmington, NM 87402-5122

Phone

(505) 947-9990

NPI assigned

Jul 12, 2022

Last updated

Jul 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Works Counseling, LLCGroup PAC ID 1850763095, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Faith Works Counseling LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1073045688
  Medicare reassignment Care Compare group
• Serenity Path LLC

  • Community/Behavioral Health Agency
  • Bloomfield, NM
  • NPI 1093651663
  NPD Authorized official

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1831823251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6582 E MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025122",
            "telephone_number": "505-947-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6582 E MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025122",
            "telephone_number": "505-947-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MICHELLE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2022-0262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Mead, MA LPCC
• Samantha Marie Meadows
• Joan Medford
• Medical Depot Inc
• Medical Diagnostic Services LTD
• Michelle M Medina, CSW
• Melissa Meechan, A.A.
• Jean Melancon
• Melania Yeats PC
• Natalia Carmen Mendez, PHARMD

• Mental Health Counselor in Farmington, NM
• Providers in Farmington, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.