CLARENCE AUSTIN CHURCH III LMHC
NPI 1871235655
Counselor - Mental Health in Farmington, NM
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Clarence Church reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kailua Kona, HI 96740
- Reassigned Medicare billing, Hawaii enrollment
- 60 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Clarence Church's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clarence Church reassigns Medicare benefits to Alii Health Center (Kailua Kona, HI). 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 Clarence Church's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Clarence Austin Church III, LMHC · NPI 1871235655
Mental Health provider in Farmington, New Mexico. Individual provider, active in the CMS NPPES registry since April 11, 2022.
## Identity
- **NPI:** 1871235655 (Entity type: Individual)
- **Enumerated:** April 11, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** CTL0222201 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2901 E 20TH ST, Farmington, NM 87402-4411
- **Phone:** (505) 326-0241
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Alii Health Center (NPI 1285107698, Kailua Kona, HI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1871235655) · Data from the CMS NPPES public registry.