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
Mailing addressPo Box 28220, Santa Fe, NM 87592-8220

Other providers in Taos