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KELLY PEDERSEN LMHC
NPI 1174261515
Counselor - Mental Health in Rio Rancho, NM

Active since May 25, 2022
500 UNSER BLVD SE STE 200, RIO RANCHO, NM 87124(505) 548-9023(505) 531-8020 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 6, 2026, May 25, 2022 (2 updates tracked since 2022).

About Kelly Pedersen Lmhc NPPES

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

KELLY PEDERSEN LMHC (NPI 1174261515) is an individual mental health provider in Rio Rancho, New Mexico, licensed in New Mexico (CTB-2022-0066) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1174261515
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY PEDERSENCredential: LMHC
Location Address500 UNSER BLVD SE STE 200Rio Rancho, NM 87124-4660
Mailing Address1660 Old Pecos Trl Ste ASanta Fe, NM 87505-4779 · (505) 548-9023 · Fax (505) 531-8020
Phone(505) 548-9023
Fax(505) 531-8020
Sole ProprietorYes
Enumeration DateMay 25, 2022
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1174261515 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-2022-0066
500 UNSER BLVD SE STE 200, Rio Rancho, NM 87124
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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.

RITA CARMEN YTUARTE
Social Worker
500 UNSER BLVD SE STE 200
RIO RANCHO, NM 87124
Sandoval County (505) 548-9023
SARAH BENTLEY
Counselor (Professional)
500 UNSER BLVD SE STE 200
RIO RANCHO, NM 87124
Sandoval County (505) 548-9023
MEGAN LANA MARUNOWSKI LMSW
Social Worker
500 UNSER BLVD SE STE 200
RIO RANCHO, NM 87124
Sandoval County (505) 548-9023
ASHLYN PARKS LCSW
Social Worker (Clinical)
500 UNSER BLVD SE STE 200
RIO RANCHO, NM 87124
Sandoval County (505) 548-9023

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 Kelly Pedersen's NPI number?

The NPI number for Kelly Pedersen is 1174261515. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Where is Kelly Pedersen located?

Kelly Pedersen practices at 500 Unser Blvd SE Ste 200, Rio Rancho, NM 87124. The listed phone number is (505) 548-9023.

What is Kelly Pedersen's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Pedersen was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.