Individual provider Active NPI

Jamie Anne Thordsen Monroy, MS, LMHC

  • Counselor
  • Espanola, NM
National Provider Identifier
1508418013
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CMH0206251 Issued in NM
Practice address
835 Spruce St Ste C and D
Espanola, NM 87532-3455
Phone
(505) 747-7400
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CMH0206251 NM Primary

Addresses

Primary practice location

835 Spruce St Ste C and D
Espanola, NM 87532-3455

Mailing address

835 Spruce St Ste C and D
Espanola, NM 87532-3455
Phone (505) 747-7400

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
I20250212001884 NM Practitioner - Mental Health Counselor 9537699053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Alamos Family Council, Inc.Group PAC ID 8325042302, 3 clinicians

Practice addresses (Care Compare)

1350 Central Ave
Suite 102
Los Alamos, NM 87544-3218
Phone (505) 662-4160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CMH0206251NMMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Los Alamos Family Council, Inc. Mental Health CurrentSince Dec 12, 2024 Accepting new patients

Locations

1350 Central Ave
Ste 102
Los Alamos, NM 87544
Phone (505) 551-1241

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1508418013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SPRUCE ST STE C AND D",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323455",
            "telephone_number": "505-747-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SPRUCE ST STE C AND D",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323455",
            "telephone_number": "505-747-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORDSEN MONROY",
        "first_name": "JAMIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "CMH0206251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

Verify at the official NPI Registry.