Individual provider Active NPI

Caryle Hopkins Zorumski

  • Mental Health Counselor
  • Taos, NM
National Provider Identifier
1124137807
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0067192 Issued in NM
Practice address
112B Alexander St
Suite B2
Taos, NM 87571-6278
Phone
(505) 751-0449
Fax
(505) 751-0449
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0067192 NM Primary

Addresses

Primary practice location

112B Alexander St
Suite B2
Taos, NM 87571-6278

Mailing address

112B Alexander St
Suite B2
Taos, NM 87571-6278
Phone (505) 751-0449

Other identifiers 1

IdentifierTypeStateIssuer
0067192OtherNMLICPROFCLINICAMHCNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231222001399 NM Practitioner - Mental Health Counselor 7416307038 Practice locations: Taos, NM

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

515 Gusdorf Rd
Suite 1
Taos, NM 87571-5407
Phone (575) 751-0449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0067192NMMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124137807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112B ALEXANDER ST",
            "address_2": "SUITE B2",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716278",
            "telephone_number": "505-751-0449",
            "fax_number": "505-751-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112B ALEXANDER ST",
            "address_2": "SUITE B2",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716278",
            "telephone_number": "505-751-0449",
            "fax_number": "505-751-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORUMSKI",
        "first_name": "CARYLE",
        "middle_name": "HOPKINS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0067192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICPROFCLINICAMHCNSELOR",
            "identifier": "0067192",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.