Organization Active NPI

Petroglyph Counseling LLC

  • Community/Behavioral Health Agency
  • Rio Rancho, NM
National Provider Identifier
1790541308
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PETROGLYPH COUNSELING LLC
Practice address
333 Rio Rancho Blvd NE Ste 301a
Rio Rancho, NM 87124-1456
Phone
(505) 221-6740
NPI assigned
Feb 22, 2024
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Richard Moharter, LPCCNPI 1114562188
Title
Owner
Phone
(505) 226-0575

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

333 Rio Rancho Blvd NE Ste 301a
Rio Rancho, NM 87124-1456

Mailing address

4101 Corrales Rd Unit 1616
Corrales, NM 87048-4065
Phone (505) 226-0575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240530000160 NM Part B Supplier - Clinic/Group Practice 5698117109 Receives reassigned benefits from 1 practitioner
Practice locations: Rio Rancho, NM

National Provider Directory

National Provider Directory

Locations

4101 Corrales Rd
Unit 1616
Corrales, NM 87048
Phone (505) 226-0575

333 Rio Rancho Blvd NE
Ste 301
Rio Rancho, NM 87124
Phone (505) 226-0575

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1790541308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 CORRALES RD UNIT 1616",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870484065",
            "telephone_number": "505-226-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 RIO RANCHO BLVD NE STE 301A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241456",
            "telephone_number": "505-221-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETROGLYPH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "MOHARTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-226-0575",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.