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

MS. JESSICA MARIE PEDERSON LMHC
NPI 1528500394
Counselor - Mental Health in Grants, NM

Active since November 10, 2016
1040 SAKELARES BLVD, GRANTS, NM 87020(505) 876-1890 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2021, Nov 10, 2016 (2 updates tracked since 2016).

About Ms. Jessica Marie Pederson Lmhc NPPES

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

MS. JESSICA MARIE PEDERSON LMHC (NPI 1528500394) is an individual mental health provider in Grants, New Mexico, licensed in New Mexico (0183201) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1528500394
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JESSICA MARIE PEDERSONCredential: LMHC
Location Address1040 SAKELARES BLVDGrants, NM 87020-3819
Mailing Address1040 Sakelares BlvdGrants, NM 87020-3819 · (505) 876-1890
Phone(505) 876-1890
Sole ProprietorNo
Enumeration DateNovember 10, 2016
Last NPPES UpdateSeptember 27, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1528500394 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 · 0183201
1040 SAKELARES BLVD, Grants, NM 87020
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

SHANELLE AMBER BENTON CSW / PSR INSTRUCTOR
Case Manager/Care Coordinator
1040 SAKELARES BLVD
GRANTS, NM 87020
Cibola County (505) 287-2273
DR ALEXANDER L.L.C
Specialist
1040 SAKELARES BLVD
GRANTS, NM 87020
Cibola County (505) 287-4489
ROSE ANNA NELSON LPCC
Counselor (Professional)
1040 SAKELARES BLVD
GRANTS, NM 87020
Cibola County (505) 876-1890
CELESTEE CATHEY LCSW
Social Worker
1040 SAKELARES BLVD
GRANTS, NM 87020
Cibola County (505) 876-1890
AMBER NICOLE VELEZ CSW
Case Manager/Care Coordinator
1040 SAKELARES BLVD
GRANTS, NM 87020
Cibola County (505) 876-1890
CHRISTINE RENEE TILLMAN LMSW
Social Worker
1040 SAKELARES BLVD
GRANTS, NM 87020
Cibola County (505) 876-1890
MRS. SYLVIA M KNOTTS LMSW
Social Worker
1040 SAKELARES BLVD
GRANTS, NM 87020
Cibola County (505) 876-1890
ELIZABETH RAYANNE HAUSAM CSW
Case Manager/Care Coordinator
1040 SAKELARES BLVD
GRANTS, NM 87020
Cibola County (505) 876-1890

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 Jessica Pederson's NPI number?

The NPI number for Jessica Pederson is 1528500394. It was assigned to this individual provider in the NPPES registry on November 10, 2016.

Where is Jessica Pederson located?

Jessica Pederson practices at 1040 Sakelares Blvd, Grants, NM 87020. The listed phone number is (505) 876-1890.

What is Jessica Pederson'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 Jessica Pederson was last updated on September 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.