PEDERSEN WELLNESS AND REJUVENATION
NPI 1831873744
Counselor - Mental Health in Rio Rancho, NM

Active since June 12, 2023
1740 GRANDE BLVD SE STE E15, RIO RANCHO, NM 87124(505) 507-1584 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Mental Health

About PEDERSEN WELLNESS AND REJUVENATION

This page provides the complete NPI Profile along with additional information for Pedersen Wellness And Rejuvenation, a provider established in Rio Rancho, New Mexico operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1831873744 assigned on June 2023. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Pedersen Wellness And Rejuvenation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kelly Erika Pedersen Lmhc (Owner)

NPI
1831873744 Verify this NPI
Provider Name
PEDERSEN WELLNESS AND REJUVENATION
Entity Type
Organization
Location Address
1740 GRANDE BLVD SE STE E15 RIO RANCHO, NM 87124
Location Phone
(505) 507-1584
Mailing Address
9108 MANRESA DR NW ALBUQUERQUE, NM 87114
Mailing Phone
(806) 543-1429
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2023
Last Update Date
06-26-2023
Code Navigator

A mental health counselor like Pedersen Wellness And Rejuvenation provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLY ERIKA PEDERSEN LMHC

Authorized Official Title
OWNER
Authorized Official Phone
(806) 543-1429

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831873744, enumerated as an "organization" on June 12, 2023.

The provider is located at 1740 GRANDE BLVD SE STE E15 RIO RANCHO, NM 87124 and the phone number is (505) 507-1584.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.