4 Directions Integrative Mental Health, Llc - Medicare Mental Health Clinic in Las Cruces, NM

4 Directions Integrative Mental Health, Llc is a medicare enrolled mental health clinic (Community/behavioral Health) in Las Cruces, New Mexico. The current practice location for 4 Directions Integrative Mental Health, Llc is 125 W Boutz Rd, Las Cruces, New Mexico. For appointments, you can reach them via phone at (575) 523-5222. The mailing address for 4 Directions Integrative Mental Health, Llc is Po Box 3148, Mesilla Park, New Mexico and phone number is (575) 523-5222.

4 Directions Integrative Mental Health, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013559038. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (575) 523-5222.

Contact Information

4 Directions Integrative Mental Health, Llc
125 W Boutz Rd
Las Cruces
NM 88005-3118
(575) 523-5222
(575) 523-8031

Mental Health Clinic Profile

Full Name4 Directions Integrative Mental Health, Llc
SpecialityCommunity/Behavioral Health
Location125 W Boutz Rd, Las Cruces, New Mexico
Authorized Official Name and PositionAnnette Mirabal (PARTNER)
Authorized Official Contact5755201536
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
4 Directions Integrative Mental Health, Llc
Po Box 3148
Mesilla Park
NM 88047-3148

Ph: (575) 523-5222
4 Directions Integrative Mental Health, Llc
125 W Boutz Rd
Las Cruces
NM 88005-3118

Ph: (575) 523-5222

NPI Details:

NPI Number1013559038
Provider Enumeration Date10/10/2019
Last Update Date08/08/2023
Certification Date08/08/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1153750476
Medicare Enrollment IDO20200407001499

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Medical Identifiers

Medical identifiers for 4 Directions Integrative Mental Health, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013559038NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. 4 Directions Integrative Mental Health, Llc acts as a billing entity for following providers:
Provider NameAnnette Csw Mirabal
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053780023
PECOS PAC ID: 7416386735
Enrollment ID: I20200504002110

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Provider NameLaura Bruggemann
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174802953
PECOS PAC ID: 0042649360
Enrollment ID: I20200504002156

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Provider NameMegan L Garcia
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1467833244
PECOS PAC ID: 3476924614
Enrollment ID: I20230125002663

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Provider NameElizabeth C Royer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811235039
PECOS PAC ID: 7315318565
Enrollment ID: I20230125003064

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Community/Behavioral Health in Las Cruces, NM

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Medicare: Medicare Enrolled
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Medicare: Not Enrolled in Medicare
Practice Location: 250 S Main St, Las Cruces, NM 88001
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