Individual provider Active NPI

Patricia Leal Romo, M-ED, LPC, LMFT

  • Mental Health Counselor
  • Levelland, TX
National Provider Identifier
1124316179
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11861 Issued in TX
Practice address
500 West Ave
Levelland, TX 79336-3341
Phone
(806) 897-9735
Fax
(806) 568-0299
NPI assigned
Jul 12, 2011
Last updated
Jul 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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 11861 TX Primary

Addresses

Primary practice location

500 West Ave
Levelland, TX 79336-3341

Mailing address

500 West Ave
Levelland, TX 79336-3341
Phone (806) 897-9735

Other names 1

  • Patricia Eustolia Romo Former name

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
11861TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1124316179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WEST AVE",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793363341",
            "telephone_number": "806-897-9735",
            "fax_number": "806-568-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WEST AVE",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793363341",
            "telephone_number": "806-897-9735",
            "fax_number": "806-568-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMO",
        "first_name": "PATRICIA",
        "middle_name": "LEAL",
        "credential": "M-ED, LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "11861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ROMO",
            "middle_name": "EUSTOLIA",
            "credential": "M-ED, LPC, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Levelland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.