Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Mooneyham

Individual provider Counselor · NPI 1538464300

Jeremy Mooneyham is a Counselor in Taos, New Mexico. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

118 Este Es Rd Unit H
Taos, NM 87571-6669
Phone: (575) 758-7263
Fax: (575) 758-3535
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1538464300
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 25, 2011
Last updated in NPPESJanuary 25, 2011

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