Mayra Nancy Mendoza, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1378 Issued in WY

Practice address

1215 Lambda Dr
Rawlins, WY 82301-4450

Phone

(307) 321-8500

Fax

(307) 324-5234

NPI assigned

Jan 24, 2012

Last updated

Feb 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Mana Counseling

  • Mental Health Counselor
  • Rawlins, WY
  • NPI 1386400182
  NPD Authorized official
• Hope and Healing Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cheyenne, WY
  • NPI 1801533013
  NPD

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1902177801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LAMBDA DR",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823014450",
            "telephone_number": "307-321-8500",
            "fax_number": "307-324-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LAMBDA DR",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823014450",
            "telephone_number": "307-321-8500",
            "fax_number": "307-324-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MAYRA",
        "middle_name": "NANCY",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "PPC-631",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "1378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial Hospital of Carbon County
• Memorial Hospital of Carbon County
• Memorial Hospital of Carbon County (Wagon Circle Orthopedic Clinic)
• Memorial Hospital of Carbon County
• Memorial Hospital of Carbon County Community Based in Home Services
• Cecelia Mikesell, CSW
• Gary Mikesell, DO
• Mobility Center of Wyoming LLC
• Mobility Center of Wyoming LLC
• Lisa D Molina

• Professional Counselor in Rawlins, WY
• Providers in Rawlins, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.