Individual provider Active NPI

Evan Tyler Romrell, MAS-MFT, LMFT

  • Marriage & Family Therapist
  • Gilbert, AZ
National Provider Identifier
1194559567
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-16177 Issued in AZ
Practice address
880 N Colorado St
Gilbert, AZ 85233-3419
Phone
(480) 820-0825
NPI assigned
Aug 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT-16177 AZ Primary

Addresses

Primary practice location

880 N Colorado St
Gilbert, AZ 85233-3419

Mailing address

880 N Colorado St
Gilbert, AZ 85233-3419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20241101000365 AZ Practitioner - Marriage and Family Therapist 1759814569 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT-16177AZMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children's Service CurrentSince Oct 1, 2024 Accepting new patients
Jewish Family & Children's Service CurrentSince Oct 1, 2024 Accepting new patients
Jewish Family & Children's Service Current Accepting new patients

Locations

880 N Colorado St
Gilbert, AZ 85233
Phone (480) 820-0825

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1194559567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 N COLORADO ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 N COLORADO ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333419",
            "telephone_number": "480-820-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMRELL",
        "first_name": "EVAN",
        "middle_name": "TYLER",
        "credential": "MAS-MFT, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-16177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.