Jennifer Tara Bruno

Individual provider Active NPI Mental Health Counselor · Taos, NM

NPI 1871421891 · NPPES record last updated May 11, 2026

Key facts

NPI
1871421891
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1130 Butterfly Road
Taos, NM 87571
Phone
(575) 758-7824
NPI assigned
May 11, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NM Yes

Addresses

Primary practice location

1130 Butterfly Road
Taos, NM 87571

Mailing address

408 Kit Carson Rd Unit 7
Taos, NM 87571-6933

Other providers in Taos, NM

All providers in Taos, NM · Mental Health Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.