Nichole Gutierrez, LMHC in Sunland Park, NM - Medicare Counselor Provider

Nichole Gutierrez, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Sunland Park, New Mexico. Her current practice location is 2625 Mcnutt Rd Ste B, Sunland Park, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 589-6540.

Nichole Gutierrez is licensed to practice in New Mexico (license number CTB-2022-0665) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063134583.

Contact Information

	Nichole Gutierrez, LMHC
	2625 Mcnutt Rd Ste B, Sunland Park, NM 88063-9608
	(575) 589-6540
	(575) 589-5864

Map and Direction

Healthcare Provider's Profile

Full Name	Nichole Gutierrez
Gender	Female
Speciality	Counselor - Mental Health
Location	2625 Mcnutt Rd Ste B, Sunland Park, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063134583
Provider Enumeration Date: 09/12/2022
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8921532367
Enrollment ID: I20241107003892

Medical Identifiers

Medical identifiers for Nichole Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063134583	NPI	-	NPPES
95323783	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CTB-2022-0665 (New Mexico)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nichole Gutierrez allows following entities to bill medicare on her behalf.

Entity Name	La Clinica De Familia, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528424397 PECOS PAC ID: 6305745191 Enrollment ID: O20031231000076

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Gutierrez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nichole Gutierrez, LMHC 385 Calle De Alegra Ste A, Las Cruces, NM 88005-3423 Ph: (575) 526-1105	Nichole Gutierrez, LMHC 2625 Mcnutt Rd Ste B, Sunland Park, NM 88063-9608 Ph: (575) 589-6540

Reviews and Comments

Counselor in Sunland Park, NM

Mr. Christopher Lawrence Tolland, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Maguey Ct Ste 1, Sunland Park, NM 88063 Phone: 575-589-2400
Yolanda Balay, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Mcnutt Rd Ste B, Sunland Park, NM 88063 Phone: 575-589-6540 Fax: 575-589-5864
Juan Pablo Hernandez, GUIDANCE/COUNCELOR Counselor Medicare: Medicare Enrolled Practice Location: 3465 Mcnutt Rd, Sunland Park, NM 88063 Phone: 575-915-1338 Fax: 575-915-1819
Grace Noemi Angeles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 861 Via Glorieta, Sunland Park, NM 88063 Phone: 915-549-2097 Fax: 915-549-2097
Mrs. Mary Lou Chavez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Maguey Ct Ste 1, Sunland Park, NM 88063 Phone: 575-589-2400 Fax: 866-591-1407
Sonia Maldonado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Maguey Court, Suite 1, Sunland Park, NM 88063 Phone: 575-589-2400

Nichole Gutierrez, LMHC - Medicare Counselor in Sunland Park, NM