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CHARLES EDWARD NEELLEY JR. LMHC
NPI 1679240998
Counselor - Professional in Taos, NM

Active since August 24, 2021PECOS EnrolledAccepts Medicare Assignment
105 BERTHA RD STE B, TAOS, NM 87571(575) 758-4297 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles Edward Neelley Jr. Lmhc NPPES

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

CHARLES EDWARD NEELLEY JR. LMHC (NPI 1679240998) is an individual professional provider in Taos, New Mexico, licensed in New Mexico (CMH0151031) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1679240998
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHARLES EDWARD NEELLEY JR.Credential: LMHC
Location Address105 BERTHA RD STE BTaos, NM 87571-7148
Mailing AddressPo Box 1598Taos, NM 87571-1598 · (575) 779-2294
Phone(575) 758-4297
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 24, 2021
NPPES CertifiedAugust 24, 2021
✔ NPI 1679240998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NM · CMH0151031
105 BERTHA RD STE B, Taos, NM 87571
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Edward Neelley Jr. Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658806096
PECOS Enrollment IDI20241122000749
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Charles Neelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nonviolence Works, Inc.
Same address
Mental Health (Including Community Mental Health Center)
105 BERTHA RD STE B
Taos, NM 87571
  • Reassigned Medicare billing, New Mexico enrollment
  • 30 clinicians in this Medicare group
NPI 1376777607 (575) 758-4297

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JESSICA DIAZ LMHC
Marriage & Family Therapist
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (505) 758-4297
CATHERINE SHANK
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
LAURALEE TRUJILLO
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
MIGUEL QUINTANA
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
JOANN VISARRAGA
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
NIKKI VUE
Peer Specialist
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
CK SATTERTHWAITE
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (505) 758-4297
LESLY GUERRERO
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-7958

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 Charles Neelley's NPI number?

The NPI number for Charles Neelley is 1679240998. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Charles Neelley located?

Charles Neelley practices at 105 Bertha Rd Ste B, Taos, NM 87571. The listed phone number is (575) 758-4297.

What is Charles Neelley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Charles Neelley enrolled in Medicare?

Yes. Charles Neelley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Charles Neelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Neelley reassigns Medicare benefits to Nonviolence Works, Inc. (Taos, NM). The 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 Charles Neelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Neelley was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.