MAYRA MARIA MENDOZA (NPI# 1811290554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811290554 |
| Entity Type | Individual |
| Full Name | MAYRA MARIA MENDOZA |
| Practice Address |
678 Avenue C Ft. Sumner NM 88119 |
| Mailing Address |
Po Box 28220 Santa Fe NM 87592-8220 |
| Practice Telephone | 5753558326 |
| Practice Fax Number | 5753558327 |
| Mailing Telephone | 5054715006 |
| Mailing Fax Number | 5058209220 |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801421102 | Mayra Mendoza | Licensed Vocational Nurse | 17706 Noble Oak Ct, Houston, TX 77095-4420 | 2020-03-06 |
| 1104469725 | Mayra Mendoza | Nurse Anesthetist, Certified Registered | 1005 Hyde St Apt 24, San Francisco, CA 94109-4921 | 2019-10-27 |
| 1528277985 | Mayra Mendoza | Registered Nurse | 6313 W. Browning Ave., Fresno, CA 93723-7663 | 2007-05-22 |
| 1902177801 | Mayra Nancy Mendoza | Counselor | 721 W Maple St, Rawlins, WY 82301-5447 | 2012-01-24 |
| Street Address |
678 AVENUE C |
| City | FT. SUMNER |
| State | NM |
| Zip Code | 88119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114294295 | Gerald L Sena | Counselor | 678 Avenue C, Ft. Sumner, NM 88119 | 2011-11-17 |
| 1316231897 | Shelly Renee Landreth | Counselor | 678 Avenue C, Ft. Sumner, NM 88119 | 2011-06-02 |
| 1740579671 | Astrid Maribel De Matta | Counselor | 678 Avenue C, Ft. Sumner, NM 88119 | 2011-03-31 |
| 1497072011 | Brenton Williamson | Counselor | 678 Avenue C, Ft. Sumner, NM 88119 | 2010-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659627529 | Angelica R. Segura | Counselor | De Baca Family Practice Clinic, 546 N. 10th Street, Fort Sumner, NM 88119 | 2012-07-30 |
| 1235375460 | Regional Substance Abuse Treatment Initiative | Substance Abuse Rehabilitation Facility | 519 North 10th. Street, Fort Sumner, NM 88119 | 2008-12-17 |
| 1356470447 | Village of Fort Sumner | Ambulance | 173 E Ave C, Ft Sumner, NM 88119 | 2007-03-05 |
| 1124184213 | Wil B Pacheco | Dentist | 546 N 10th Street, Fort Sumner, NM 88119 | 2006-12-31 |
| 1003855032 | De Baca Family Practice Clinic | Clinic/Center | 546 N. Tenth St, Fort Sumner, NM 88119 | 2006-06-05 |
| 1023001591 | Darlene G Jenkins | Nurse Practitioner | 546 North 10th St., Fort Sumner, NM 88119 | 2005-08-30 |
| 1235643321 | Marie Alice Dickerman | Registered Nurse | 262 South 9th Street, Elementary School Building, Fort Sumner, NM 88119 | 2017-11-28 |
| 1679966451 | Laney Pierce | Nurse Practitioner | 546 N 10th Street, Fort Sumner, NM 88119 | 2015-03-18 |
| 1184054025 | Sheila A Smith | Social Worker | 546 N 10th Street, Fort Sumner, NM 88119 | 2013-11-13 |
| 1386941938 | Crystal Joyce Sena | Social Worker | 546 N. 10th St, Fort Sumner, NM 88119 | 2011-02-17 |
| Find all providers in zip 88119 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114294295 | Gerald L Sena | Counselor | 678 Avenue C, Ft. Sumner, NM 88119 | 2011-11-17 |
| 1316231897 | Shelly Renee Landreth | Counselor | 678 Avenue C, Ft. Sumner, NM 88119 | 2011-06-02 |
| 1740579671 | Astrid Maribel De Matta | Counselor | 678 Avenue C, Ft. Sumner, NM 88119 | 2011-03-31 |
| 1497072011 | Brenton Williamson | Counselor | 678 Avenue C, Ft. Sumner, NM 88119 | 2010-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313272 | Scarlett Amber-lynn Thompson | Counselor | 913 Hinkle St, Clovis, NM 88101-5846 | 2020-10-11 |
| 1912510611 | Human Potential Arts LLC | Counselor | 4358 Laughing Crow Ln, Santa Fe, NM 87507-2582 | 2020-08-24 |
| 1437761640 | Erycka Mikkal Sanchez | Counselor | 755 S Telshor Blvd Ste 203t, Las Cruces, NM 88011-8679 | 2020-08-19 |
| 1487278982 | Edward L Lyell | Counselor | 7005 Prospect Pl Ne, Albuquerque, NM 87110-4311 | 2020-06-01 |
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1730701970 | Jennifer Preslar | Counselor | 4801 Beckner Rd Ste 2750, Santa Fe, NM 87507-3641 | 2020-05-11 |
| 1669093241 | Santa Fe Integrative Therapy | Counselor | 1640 Calle Medico Suite E, Santa Fe, NM 87505-4777 | 2020-05-05 |
| 1871144634 | Alisha O'donovan | Counselor | 1390 S Roosevelt Road 30, Rogers, NM 88132-9724 | 2019-09-24 |
| 1831747088 | The Olivetree | Counselor | 808 Fir St, Truth Or Consequences, NM 87901-1724 | 2019-08-30 |
| 1881249704 | Tamara Leanne Letcher | Counselor | 4143 W Main St, Artesia, NM 88210-9532 | 2019-08-07 |
| Find all providers with the same taxonomy | ||||
| City | FT. SUMNER |
| Zip Code | 88119 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.