Individual provider Active NPI

James M Nolan, LPCC

  • Counseling Psychologist
  • Santa Fe, NM
National Provider Identifier
1154792919
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1382 Issued in NM
Practice address
4719 Contenta RDG
Santa Fe, NM 87507-6603
Phone
(505) 699-7616
NPI assigned
Oct 19, 2015
Last updated
Oct 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1382OtherNMPH.D. PSYCHOLOGIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1382NMMDSpeech-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

Verify at the official NPI Registry.