Individual provider Active NPI

Richard Moharter

  • Professional Counselor
  • Rio Rancho, NM
National Provider Identifier
1114562188
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
333 Rio Rancho Blvd NE Ste 301a
Rio Rancho, NM 87124-1456
Phone
(505) 221-6740
NPI assigned
Nov 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NM Primary

Addresses

Primary practice location

333 Rio Rancho Blvd NE Ste 301a
Rio Rancho, NM 87124-1456

Mailing address

4101 Corrales Rd Unit 1616
Corrales, NM 87048-4065
Phone (505) 226-0575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613004466 NM Practitioner - Mental Health Counselor 7315389822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 Rio Rancho Blvd NE
Suite 301
Rio Rancho, NM 87124-1456
Phone (505) 226-0575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Petroglyph Counseling LLC CurrentSince Mar 13, 2024 Accepting new patients

Locations

4101 Corrales Rd
Unit 1616
Corrales, NM 87048
Phone (505) 226-0575

333 Rio Rancho Blvd NE
Ste 301
Rio Rancho, NM 87124
Phone (505) 226-0575

333 Rio Rancho Blvd NE
Ste 301A
Rio Rancho, NM 87124
Phone (505) 573-8001

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1114562188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 CORRALES RD UNIT 1616",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870484065",
            "telephone_number": "505-226-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 RIO RANCHO BLVD NE STE 301A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241456",
            "telephone_number": "505-221-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHARTER",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.