1. Home
  2. Directory
  3. New Mexico
  4. Gallup
  5. Counselor
  6. NPI Profile

TERESA MITCHELL LMHC
NPI 1679389415
Counselor - Mental Health in Gallup, NM

Active since December 06, 2024PECOS Enrolled
2111 COLLEGE DR, GALLUP, NM 87301(505) 397-5172 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Teresa Mitchell Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA MITCHELL LMHC (NPI 1679389415) is an individual mental health provider in Gallup, New Mexico, licensed in New Mexico (CTB-2024-0836) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1679389415
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTERESA MITCHELLCredential: LMHC
Location Address2111 COLLEGE DRGallup, NM 87301-5600
Mailing Address2111 College DrGallup, NM 87301-5600 · (505) 397-5172
Phone(505) 397-5172
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 6, 2024
NPPES CertifiedDecember 6, 2024
✔ NPI 1679389415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NM · CTB-2024-0836
2111 COLLEGE DR, Gallup, NM 87301
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Mitchell Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395212385
PECOS Enrollment IDI20260428002624
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Teresa Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gallup Community Health
Same address
Federally Qualified Health Center (FQHC)
2111 COLLEGE DR
Gallup, NM 87301
  • Reassigned Medicare billing, New Mexico enrollment
  • 23 clinicians in this Medicare group
NPI 1336807254 (505) 397-5381

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS P LUCERO CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
TIUS JAMES
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 979-9870
JANENE VAUGHN LCSW
Social Worker (Clinical)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
JUDY A LURANC SWEENEY OT
Occupational Therapist (Pediatrics)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
RAELYNN BENALLY
Nurse Practitioner (Family)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
KRISTEN JOY PIKAART CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 870-8445
CHRISTOPHER CODY BALDONADO RN
Case Manager/Care Coordinator
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5797
AHEDABAH J JUNE CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Mitchell's NPI number?

The NPI number for Teresa Mitchell is 1679389415. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Where is Teresa Mitchell located?

Teresa Mitchell practices at 2111 College Dr, Gallup, NM 87301. The listed phone number is (505) 397-5172.

What is Teresa Mitchell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Teresa Mitchell enrolled in Medicare?

Yes. Teresa Mitchell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Teresa Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Mitchell reassigns Medicare benefits to Gallup Community Health (Gallup, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teresa Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Teresa Mitchell was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.