Individual provider Active NPI

David Joseph Romero

  • Counselor
  • Santa Fe, NM
National Provider Identifier
1285016147
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
T-0170861 Issued in NM
Practice address
74 Calle Enrique
Santa Fe, NM 87507-0196
Phone
(505) 988-4131
NPI assigned
Jun 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X T-0170861 NM Primary

Addresses

Primary practice location

74 Calle Enrique
Santa Fe, NM 87507-0196

Mailing address

74 Calle Enrique
Santa Fe, NM 87507-0196
Phone (505) 988-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240210000462 NM Practitioner - Mental Health Counselor 6204104235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychotherapy and Pastoral Counseling AssociatesGroup PAC ID 2062780083, 8 clinicians

Practice addresses (Care Compare)

2019 Galisteo St
Santa Fe, NM 87505-2110
Phone (505) 988-4131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-0170861NMMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy & Pastoral Counseling Associates CurrentSince Jan 1, 2024 Accepting new patients

Locations

2019 Galisteo St
Ste M1A
Santa Fe, NM 87505
Phone (505) 988-4131

Organizations & group practices 1

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": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1285016147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 CALLE ENRIQUE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875070196",
            "telephone_number": "505-988-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 CALLE ENRIQUE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875070196",
            "telephone_number": "505-988-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "T-0170861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.