Active NPI
James M Nolan, LPCC
- Counseling Psychologist
- Santa Fe, NM
National Provider Identifier
1154792919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 1382
- Practice address
- 4719 Contenta RDG
Santa Fe, NM 87507-6603 - Phone
- (505) 699-7616
- NPI assigned
- Oct 19, 2015
- Last updated
- Oct 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 1382 | NM | Primary |
Addresses
Primary practice location
4719 Contenta RDG
Santa Fe, NM 87507-6603
Mailing address
4719 Contenta RDG
Santa Fe, NM 87507-6603
Phone (505) 699-7616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1382 | Other | NM | PH.D. PSYCHOLOGIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190110000669 | HI | Practitioner - Clinical Psychologist | 9830435908 | Practice locations: Honolulu, HI |
| I20200730003177 | NM | Practitioner - Clinical Psychologist | 9830435908 | Practice locations: Santa Fe, NM |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3660 Waialae Ave
Suite 208
Honolulu, HI 96816-3258
Phone (505) 699-7616
4325 Vuelta Colorada
Santa Fe, NM 87507-7288
Phone (505) 699-7616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1382 | NM | MD | Speech-Language Pathologist |
Networks
- HI PPO
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1154792919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4719 CONTENTA RDG",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875076603",
"telephone_number": "505-699-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4719 CONTENTA RDG",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875076603",
"telephone_number": "505-699-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "JAMES",
"middle_name": "M",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-19",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NM",
"license": "1382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PH.D. PSYCHOLOGIST",
"identifier": "1382",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.