Individual provider · Type 1 NPI

Miles Ontiveros Medina, LMHC

Mental Health Counselor · Albuquerque, NM

NPI number 1316875339 Active

Practice location

218 Broadway Blvd SE
Albuquerque, NM 87102-3425

Call (505) 242-6988 Map

Fax (505) 242-6972

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCTB-2026-0350 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1316875339

Miles Ontiveros Medina, LMHC's National Provider Identifier is 1316875339, issued on May 11, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on May 11, 2026.