Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY MONDRAGON
ActiveKIMBERLY MONDRAGON is a Counselor healthcare provider located in EDGEWOOD, New Mexico. NPI 1104785542 is currently active in the NPPES registry. Verify at CMS.
Counselor · EDGEWOOD, NM
Registration Details
- NPI Number
- 1104785542
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 21, 2026 (0.51941071520459 yrs)
- Last Updated
- Jan 21, 2026
- License
-
CTB-2025-0948 (NM)
Practice Information
- Address
-
215 COWBOY WAYEDGEWOOD, NM, 870159616Browse NM providers · Browse ZIP 87015
- Phone
- 5057502707
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in EDGEWOOD, NM
| Name | Credential | NPI |
|---|---|---|
| CANDICE RAE GUILLEN | IBCLC | 1831669019 |
| KOREY SHRADER | LMHC | 1750247367 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.