Jonathan Wallach LPCC LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JONATHAN WALLACH LPCC LLC

Practice address

1010 Marquez PL Ste C
Santa Fe, NM 87505-1694

Phone

(780) 822-6795

NPI assigned

Aug 11, 2025

Last updated

Aug 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mona Hoover

Title

Billing Supervisor

Phone

(217) 621-6595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Wallach, LMHC

  • Mental Health Counselor
  • Santa Fe, NM
  • NPI 1568811537
  Medicare reassignment NPD

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1235014044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LOMA SERENA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875067531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MARQUEZ PL STE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051694",
            "telephone_number": "780-822-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN WALLACH LPCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-10",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "217-621-6595"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Johnson, MD
• Karisa Johnston
• William Hannan Johnston
• Rebecca Ann Jolin, RN
• Laura Jolly, LMT
• Brayden Jones
• Cassia Jones
• Jason Jones, CPSW
• Joe E. Jones, DDS
• Judith Azima Jones, PT

• Mental Health Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.