Individual provider · Type 1 NPI
Kimberly Mondragon
Counselor · Edgewood, NM
NPI number
1104785542
Active
Practice location
215 Cowboy Way
Edgewood, NM 87015-9616
Mailing address
10 Avenida Pita
Santa Fe, NM 87505-1482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | CTB-2025-0948 (NM) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
6 other providers at this address
- Nurturing Insight LLCClinical Social Worker Edgewood, NM NPI 1659870525
- Amy Smith, LCSWClinical Social Worker Edgewood, NM NPI 1629469853
- Jennifer Nelson, LCSWClinical Social Worker Edgewood, NM NPI 1639648736
- Kellie Ann Tomlin, LCSWClinical Social Worker Edgewood, NM NPI 1396244265
- Korey Shrader, LMHCCounselor Edgewood, NM NPI 1750247367
- Natalie VasquezCounselor Edgewood, NM NPI 1689516445
Other counselor providers in Edgewood
About NPI 1104785542
Kimberly Mondragon's National Provider Identifier is 1104785542, issued on Jan 21, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Edgewood, NM. The record was last updated on Jan 21, 2026.