Individual provider Active NPI

Jacquelyn Hoppe

  • Mental Health Counselor
  • Clovis, NM
National Provider Identifier
1194082958
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0148671 Issued in NM
Practice address
121 Townsgate PLZ
Clovis, NM 88101-3714
Phone
(575) 742-2620
NPI assigned
Apr 18, 2012
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0148671 NM Primary

Addresses

Primary practice location

121 Townsgate PLZ
Clovis, NM 88101-3714

Mailing address

PO Box 28220
Santa Fe, NM 87592-8220

Other practice location 1

1455 NW Leary Way Ste 400
Seattle, WA 98107-5138
Phone (202) 360-4787

Other practice location 2

10202 5th Ave NE Ste 211
Seattle, WA 98125-7472
Phone (202) 360-4787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250121000003 FL Practitioner - Mental Health Counselor 5597294678 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0148671NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MCS, PC CurrentSince Nov 15, 2024 Accepting new patients
180 Health Partners , Inc Mental Health Past Accepting new patients

Locations

1801 NE 123rd St
Ste 314
North Miami, FL 33181
Phone (239) 380-8220

333 Texas St
Ste 1346
Shreveport, LA 71101
Phone (888) 339-9404

8040 Georgia Ave
Ste 170
Silver Spring, MD 20910
Phone (888) 543-5550

2 Cityplace Dr
Ste 2
Saint Louis, MO 63141

555 Marriott Dr
Ste 315
Nashville, TN 37214
Phone (615) 258-8400

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1194082958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28220",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875928220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 TOWNSGATE PLZ",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013714",
            "telephone_number": "575-742-2620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 NW Leary Way Ste 400",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981075138",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10202 5th Ave NE Ste 211",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981257472",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPPE",
        "first_name": "JACQUELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0148671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

Verify at the official NPI Registry.