JEREMY MOONEYHAM
NPI 1538464300
Counselor in Taos, NM

Active since January 25, 2011
118 ESTE ES RD UNIT H, TAOS, NM 87571(575) 758-7263(575) 758-3535 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Mooneyham NPPES

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

JEREMY MOONEYHAM (NPI 1538464300) is an individual counselor in Taos, New Mexico and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1538464300
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJEREMY MOONEYHAM
Location Address118 ESTE ES RD UNIT HTaos, NM 87571-6669
Mailing AddressPo Box 28220Santa Fe, NM 87592-8220 · (505) 471-5006 · Fax (877) 513-3441
Fax(575) 758-3535
Sole ProprietorNo
Enumeration DateJanuary 25, 2011
NPI 1538464300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
118 ESTE ES RD UNIT H, Taos, NM 87571

Other Providers at the Same Location NPPES 9

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

Counselor
118 ESTE ES RD UNIT H
TAOS, NM 87571
Counselor
118 ESTE ES RD UNIT H
TAOS, NM 87571
Counselor (Mental Health)
118 ESTE ES RD UNIT H
TAOS, NM 87571
Counselor
118 ESTE ES RD UNIT H
TAOS, NM 87571
Counselor
118 ESTE ES RD UNIT H
TAOS, NM 87571
Counselor
118 ESTE ES RD UNIT H
TAOS, NM 87571
Counselor
118 ESTE ES RD UNIT H
TAOS, NM 87571
Counselor
118 ESTE ES RD UNIT H
TAOS, NM 87571

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 Jeremy Mooneyham's NPI number?

The NPI number for Jeremy Mooneyham is 1538464300. It was assigned to this individual provider in the NPPES registry on January 25, 2011.

Where is Jeremy Mooneyham located?

Jeremy Mooneyham practices at 118 Este Es Rd Unit H, Taos, NM 87571. The listed phone number is (575) 758-7263.

What is Jeremy Mooneyham's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Mooneyham was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.