Individual provider Active NPI

Zulay Andrea Romero, MS, ATR-P, LCMHCA

  • Mental Health Counselor
  • New Bern, NC
National Provider Identifier
1134740772
Registry record updated Dec 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A15655 Issued in NC
Practice address
2407 Grace Ave
New Bern, NC 28562-4416
Phone
(252) 638-0185
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2020

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 A15655 NC Primary

Addresses

Primary practice location

2407 Grace Ave
New Bern, NC 28562-4416

Mailing address

2407 Grace Ave
New Bern, NC 28562-4416
Phone (252) 638-0185

Other identifiers 1

IdentifierTypeStateIssuer
1134740772MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address freshstartbehavioralhealth@tsecuremail.com A Fresh Start Behavioral Health Services, PLLC

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 Science

State licenses

LicenseStateTypeSpecialty
A15655NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1134740772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 GRACE AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624416",
            "telephone_number": "252-638-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 GRACE AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624416",
            "telephone_number": "252-638-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ZULAY",
        "middle_name": "ANDREA",
        "credential": "MS, ATR-P, LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134740772",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "freshstartbehavioralhealth@tsecuremail.com",
            "affiliation": "Y",
            "endpointDescription": "Agency Email",
            "affiliationName": "A Fresh Start Behavioral Health Services, PLLC",
            "address_1": "2407 Grace Ave",
            "city": "New Bern",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285624416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; 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.