| Mental Health Resources, Inc. | |
|
1100 W 21st St Clovis NM 88101-4151 | |
| (505) 769-2345 | |
| (505) 769-9013 |
| Full Name | Mental Health Resources, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1100 W 21st St, Clovis, New Mexico |
| Authorized Official Name and Position | Brad Rikel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5757692345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Resources, Inc. 1100 W 21st St Clovis NM 88101-4151 Ph: (505) 769-2345 | Mental Health Resources, Inc. 1100 W 21st St Clovis NM 88101-4151 Ph: (505) 769-2345 |
| NPI Number | 1811049653 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Medicare PECOS PAC ID | 1759351414 |
|---|---|
| Medicare Enrollment ID | O20040729000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811049653 | NPI | - | NPPES |
| K4174 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Clarke A Brunton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790850923 PECOS PAC ID: 1951358712 Enrollment ID: I20050502001121 |
| Provider Name | Sandra L Shuya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932478955 PECOS PAC ID: 4486955838 Enrollment ID: I20151209001334 |
| Provider Name | Justin Dean Nutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487996740 PECOS PAC ID: 6901128792 Enrollment ID: I20200226001802 |
| Provider Name | Laura L Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306129465 PECOS PAC ID: 6204241433 Enrollment ID: I20210219001346 |
| Provider Name | Elizabeth Frederick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073849246 PECOS PAC ID: 0547643504 Enrollment ID: I20220824001291 |
| Provider Name | Jennifer Machado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740824283 PECOS PAC ID: 0648655308 Enrollment ID: I20220915002581 |
| Provider Name | Cassandra R Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689124299 PECOS PAC ID: 8426434879 Enrollment ID: I20221007002211 |
| Provider Name | Ryan K Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700514361 PECOS PAC ID: 0547638637 Enrollment ID: I20221121002573 |
| Provider Name | James A Abelar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568961746 PECOS PAC ID: 0648649723 Enrollment ID: I20221212002621 |
| Provider Name | Monica Banuelos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073942934 PECOS PAC ID: 0446609499 Enrollment ID: I20231215001191 |
Glu Factory, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Thornton St, Suite F, Clovis, NM 88101 Phone: 575-935-4458 | |
Mind Matters Nm, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3757 Glenfield Dr, Clovis, NM 88101 Phone: 575-791-0202 | |
Clovis Counseling Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 921 E 21st St, Suite D, Clovis, NM 88101 Phone: 505-762-0212 Fax: 505-762-0660 | |
Nurstead Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Commerce Way, Clovis, NM 88101 Phone: 915-400-6006 | |
Riovida Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Parkland Dr Ste B, Clovis, NM 88101 Phone: 575-935-2700 Fax: 575-935-2701 | |
Behavior Change Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 W Manana Blvd, Clovis, NM 88101 Phone: 575-313-5177 | |
Healthy Haven Counseling & Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2905 N Prince St Ste H, Clovis, NM 88101 Phone: 888-374-4460 Fax: 575-914-6407 |