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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: August 09, 2026.

About Pedersen Wellness And Rejuvenation NPPES

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

PEDERSEN WELLNESS AND REJUVENATION (NPI 1831873744) is a healthcare organization registered as a mental health in Rio Rancho, New Mexico and active in the NPI registry since June 2023. The organization lists Kelly Erika Pedersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1831873744
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePEDERSEN WELLNESS AND REJUVENATION
Location Address1740 GRANDE BLVD SE STE E15Rio Rancho, NM 87124-1799
Mailing Address9108 Manresa Dr NwAlbuquerque, NM 87114-6471 · (806) 543-1429
Phone(505) 507-1584
Organization SubpartNo
Authorized OfficialKelly Erika PedersenOwner · (806) 543-1429
Enumeration DateJune 12, 2023
Last NPPES UpdateJune 26, 2023
NPPES CertifiedJune 12, 2023
✔ NPI 1831873744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
1740 GRANDE BLVD SE STE E15, Rio Rancho, NM 87124
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Pedersen Wellness And Rejuvenation's NPI number?

The NPI number for Pedersen Wellness And Rejuvenation is 1831873744. It was assigned to this organization in the NPPES registry on June 12, 2023.

Where is Pedersen Wellness And Rejuvenation located?

Pedersen Wellness And Rejuvenation is located at 1740 Grande Blvd SE Ste E15, Rio Rancho, NM 87124. The listed phone number is (505) 507-1584.

What is Pedersen Wellness And Rejuvenation'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 Pedersen Wellness And Rejuvenation was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.