Mariah Kayla Jake, is a
Psychologist - Counseling based in Tohajiilee, New Mexico. Mariah Kayla Jake is licensed to practice in New Mexico (license number ) and her current practice location is
67 Tribal Road N7071 Unit 3414, Tohajiilee, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 373-7278.
NPI number for Mariah Kayla Jake is 1629904198 and her current mailing address is 67 Tribal Road N7071 Unit 3414, Tohajiilee, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629904198.
Healthcare Provider's Profile
| Full Name | Mariah Kayla Jake |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Counseling |
|---|
| Location | 67 Tribal Road N7071 Unit 3414, Tohajiilee, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629904198
- Provider Enumeration Date: 06/22/2026
- Last Update Date: 06/22/2026
Medical Identifiers
Medical identifiers for Mariah Kayla Jake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629904198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC1900X | Psychologist - Counseling | (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mariah Kayla Jake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mariah Kayla Jake, 67 Tribal Road N7071 Unit 3414, Tohajiilee, NM 87026-5115 Ph: (505) 373-7278 | Mariah Kayla Jake, 67 Tribal Road N7071 Unit 3414, Tohajiilee, NM 87026-5115 Ph: (505) 373-7278 |
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