Jennifer Jane McKinney, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTB-2023-0442 Issued in NM

Practice address

457C Road 3000
Aztec, NM 87410-9653

Phone

(505) 801-7075

NPI assigned

Aug 1, 2023

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Jane Nevarez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1275215253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457C ROAD 3000",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874109653",
            "telephone_number": "505-801-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457C ROAD 3000",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874109653",
            "telephone_number": "505-801-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "JENNIFER",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2023-0442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NEVAREZ",
            "middle_name": "JANE",
            "credential": "SCHOOL COUNSELOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terri McCartney, RN
• Nathan Anthony Douglas McClain, D.C.
• Mathew McDermott, ATC
• Leah Michelle McGrath, RN BSN
• Stacie McKenzie Briggs
• Mer Eddy County, Inc. (Choice Medical Supply)
• Mercy Regional Medical Center of Durango (Mercy Diagnostic Services- Aztec)
• Miki R Moffitt, RN, BSN, FNP-C
• Sid Mosiman, PT
• Lucia Elizabeth Naranjo, RN, MSN

• Mental Health Counselor in Aztec, NM
• Providers in Aztec, 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 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.