Organization Active NPI

Mountain Movers Family Therapy, PC

  • Marriage & Family Therapist
  • Truth Or Consequences, NM
National Provider Identifier
1669101978
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MOUNTAIN MOVERS FAMILY THERAPY, PC
Practice address
312 N Broadway St
Truth Or Consequences, NM 87901-2834
Phone
(575) 740-0719
NPI assigned
Jun 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Jonna SmithNPI 1619445822
Title
Owner
Phone
(575) 740-0719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

312 N Broadway St
Truth Or Consequences, NM 87901-2834

Mailing address

312 N Broadway St
Truth Or Consequences, NM 87901-2834
Phone (575) 740-0719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241104003412 NM Part B Supplier - Clinic/Group Practice 0840723409 Receives reassigned benefits from 1 practitioner
Practice locations: Truth Or Consequences, NM

National Provider Directory

National Provider Directory

Locations

808 Fir St
Truth Or Consequences, NM 87901
Phone (575) 208-4045

312 N Broadway St
Truth Or Consequences, NM 87901
Phone (575) 297-0157

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1669101978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N BROADWAY ST",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012834",
            "telephone_number": "575-740-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N BROADWAY ST",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012834",
            "telephone_number": "575-740-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MOVERS FAMILY THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-740-0719"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truth Or Consequences, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.