Individual provider Active NPI

Richard W Jaramillo, LADAC

  • Addiction (Substance Use Disorder) Counselor
  • Farmington, NM
National Provider Identifier
1265753636
Registry record updated Jun 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0110671 Issued in NM
Practice address
906 N Butler Ave
Farmington, NM 87401-6860
Phone
(505) 801-5127
NPI assigned
Jun 19, 2010
Last updated
Jun 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0110671 NM Primary

Addresses

Primary practice location

906 N Butler Ave
Farmington, NM 87401-6860

Mailing address

906 N Butler Ave
Farmington, NM 87401-6860
Phone (505) 801-5127

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

State licenses

LicenseStateTypeSpecialty
0110671NMMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276905600000",
    "number": "1265753636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016860",
            "telephone_number": "505-801-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016860",
            "telephone_number": "505-801-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "LADAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-19",
        "last_updated": "2010-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0110671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2010; 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.