IndividualActive
Kimberly Mondragon
NPI 1104785542 · Counselor · Edgewood, NM
Kimberly Mondragon is a Counselor provider in Edgewood, NM (NPI 1104785542).
Provider details
- NPI number
- 1104785542
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- CTB-2025-0948 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
215 Cowboy Way
Edgewood, NM 87015-9616
Phone: (505) 750-2707
Street-level locationGet directions
Mailing address
10 Avenida Pita
Santa Fe, NM 87505-1482
Registry dates
- Enumerated
- 2026-01-21
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Frequently asked questions
- What is Kimberly Mondragon's NPI number?
- Kimberly Mondragon's National Provider Identifier (NPI) is 1104785542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Mondragon's specialty?
- Kimberly Mondragon is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Kimberly Mondragon located?
- Kimberly Mondragon's practice location on file with NPPES is 215 Cowboy Way, Edgewood, NM 87015-9616.
- What is Kimberly Mondragon's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Mondragon is (505) 750-2707.
- Is Kimberly Mondragon's NPI active?
- Yes — Kimberly Mondragon's NPI (1104785542) is active in the NPPES registry as of the last update on 2026-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.