Kimberly Mondragon
NPI 1104785542ActiveIndividual· Counselor· Edgewood, NM
Counselor in Edgewood, New Mexico, licensed in NM, with an NPI issued in January 2026.
Overview
| NPI | 1104785542 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 21, 2026 |
| Last updated in NPPES | Jan 21, 2026 |
| Certified by provider | Jan 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | CTB-2025-0948 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other counselors in Edgewood
- 1831669019
- 1750247367
- 1689516445