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

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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: July 19, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.