Active NPI
Benjamin Jon Miller, LMHC
- Professional Counselor
- Santa Fe, NM
National Provider Identifier
1952179970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CTB-2023-0864
- Practice address
- 2055 S Pacheco St Ste 500
Santa Fe, NM 87505-3994 - Phone
- (505) 702-8112
- NPI assigned
- Dec 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CTB-2023-0864 | NM | |
| Professional Counselor | 101YP2500X | CTB-2023-0864 | NM | Primary |
Addresses
Primary practice location
2055 S Pacheco St Ste 500
Santa Fe, NM 87505-3994
Mailing address
901 Rio Grande Blvd NW Ste G252
Albuquerque, NM 87104-2050
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.trailaheadtherapy.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2023-0864 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trail Ahead Therapy, LLC | Mental Health | Current | Accepting new patients |
Locations
901 Rio Grande Blvd NW
Ste G252
Albuquerque, NM 87104
Phone (505) 249-2798
2055 S Pacheco St
Ste 500
Santa Fe, NM 87505
Phone (505) 424-0200
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": "1702944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1952179970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 RIO GRANDE BLVD NW STE G252",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871042050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 S PACHECO ST STE 500",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053994",
"telephone_number": "505-702-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BENJAMIN",
"middle_name": "JON",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-19",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CTB-2023-0864",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CTB-2023-0864",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.trailaheadtherapy.com",
"affiliation": "N",
"address_1": "2055 S Pacheco St Ste 500",
"city": "Santa Fe",
"state": "NM",
"country_code": "US",
"postal_code": "875053994",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.