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

CLARENCE AUSTIN CHURCH III LMHC
NPI 1871235655
Counselor - Mental Health in Farmington, NM

Active since April 11, 2022PECOS EnrolledAccepts Medicare Assignment
2901 E 20TH ST, FARMINGTON, NM 87402(505) 326-0241 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clarence Austin Church Iii Lmhc NPPES

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

CLARENCE AUSTIN CHURCH III LMHC (NPI 1871235655) is an individual mental health provider in Farmington, New Mexico, licensed in New Mexico (CTL0222201) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871235655
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCLARENCE AUSTIN CHURCH IIICredential: LMHC
Location Address2901 E 20TH STFarmington, NM 87402-4411
Mailing Address74 Road 3900Farmington, NM 87401-3203 · (719) 502-1366
Phone(505) 326-0241
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 11, 2022
NPPES CertifiedApril 11, 2022
✔ NPI 1871235655 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 · CTL0222201
2901 E 20TH ST, Farmington, NM 87402
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clarence Austin Church Iii Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385095561
PECOS Enrollment IDI20240111004885
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
104 services15 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
45 services13 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
19 services17 patients

Other Providers at the Same Location NPPES 4

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

DR. ROBERT T BENTLEY DC
Chiropractor
2901 E 20TH ST, SUITE 105
FARMINGTON, NM 87402
San Juan County (505) 564-8555
MS. REBECCA G JASPER MSW ACSW LISW
Psychologist
2901 E 20TH ST, SUITE 104
FARMINGTON, NM 87402
San Juan County (505) 326-0241
BENTLEY CHIROPRACTIC, PC
Chiropractor
2901 E 20TH ST, SUITE 105
FARMINGTON, NM 87402
San Juan County (505) 564-8555
JASPER AND ASSOCIATES, LLC
Counselor
2901 E 20TH ST, SUITE 104
FARMINGTON, NM 87402
San Juan County (505) 326-0241

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 Clarence Church's NPI number?

The NPI number for Clarence Church is 1871235655. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Clarence Church located?

Clarence Church practices at 2901 E 20th St, Farmington, NM 87402. The listed phone number is (505) 326-0241.

What is Clarence Church's specialty?

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

Is Clarence Church enrolled in Medicare?

Yes. Clarence Church is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Clarence Church accept?

Health plans from HMSA list Clarence Church as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clarence Church was last updated on April 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.