JONATHAN WALLACH LPCC LLC
NPI 1235014044
Counselor - Mental Health in Santa Fe, NM
About Jonathan Wallach Lpcc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN WALLACH LPCC LLC (NPI 1235014044) is a healthcare organization registered as a mental health in Santa Fe, New Mexico and active in the NPI registry since August 2025. The organization lists Mona Hoover, Billing Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonathan Wallach Lpcc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jonathan Wallach Lpcc LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jonathan Wallach Lpcc LLC's NPI number?
The NPI number for Jonathan Wallach Lpcc LLC is 1235014044. It was assigned to this organization in the NPPES registry on August 11, 2025.
Where is Jonathan Wallach Lpcc LLC located?
Jonathan Wallach Lpcc LLC is located at 1010 Marquez Pl Ste C, Santa Fe, NM 87505. The listed phone number is (780) 822-6795.
What is Jonathan Wallach Lpcc LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jonathan Wallach Lpcc LLC enrolled in Medicare?
Yes. Jonathan Wallach Lpcc LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jonathan Wallach Lpcc LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Jonathan Wallach Lpcc LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jonathan Wallach Lpcc LLC was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jonathan Wallach Lpcc Llc · NPI 1235014044
Mental Health organization in Santa Fe, New Mexico. Organization record, active in the CMS NPPES registry since August 11, 2025.
## Identity
- **NPI:** 1235014044 (Entity type: Organization)
- **Enumerated:** August 11, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Mona Hoover, BILLING SUPERVISOR
## Practice location
- **Address:** 1010 MARQUEZ PL STE C, Santa Fe, NM 87505-1694
- **Phone:** (780) 822-6795
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1235014044) · Data from the CMS NPPES public registry.