Individual provider Active NPI

Michelle A Chavez Valenzuela, LMHC

  • Mental Health Counselor
  • Rio Rancho, NM
National Provider Identifier
1962177006
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CTL0219361 Issued in NM
Practice address
1005 21St St SE Ste 14
Rio Rancho, NM 87124-4030
Phone
(505) 518-5757
Fax
(505) 461-6217
NPI assigned
Aug 11, 2021
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CTL0219361 NM Primary

Addresses

Primary practice location

1005 21St St SE Ste 14
Rio Rancho, NM 87124-4030

Mailing address

6102 Summer Ray Rd NW
Albuquerque, NM 87120-6115
Phone (505) 720-1659

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

LicenseStateTypeSpecialty
CTL0219361NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cravens Mental Health Services CurrentSince Dec 1, 2024 Accepting new patients

Locations

1005 21st St SE
Ste 14
Rio Rancho, NM 87124
Phone (505) 518-5757

1101 Golf Course Rd SE
Ste 203
Rio Rancho, NM 87124
Phone (505) 225-7040

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1962177006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 SUMMER RAY RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871206115",
            "telephone_number": "505-720-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 21ST ST SE STE 14",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244030",
            "telephone_number": "505-518-5757",
            "fax_number": "505-461-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ VALENZUELA",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTL0219361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.