Individual provider Active NPI

Amalid Roman-Marquez, MA

  • Mental Health Counselor
  • Springfield, MA
National Provider Identifier
1316361488
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
120 Maple St
Springfield, MA 01103-2203
Phone
(413) 540-1234
NPI assigned
Feb 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Counselor 101Y00000X
Psychologist 103T00000X 5578 PR

Addresses

Primary practice location

120 Maple St
Springfield, MA 01103-2203

Mailing address

PO Box 791
Holyoke, MA 01041-0791
Phone (413) 540-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240611001871 MA Practitioner - Mental Health Counselor 7315489994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
River Valley Counseling Center IncGroup PAC ID 4981694999, 57 clinicians

Practice addresses (Care Compare)

120 Maple St
Springfield, MA 01103-2203
Phone (413) 377-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10000619MAMDBehavioral Analyst
5578PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Counseling Center, Inc Mental Health CurrentSince May 29, 2024 Accepting new patients
River Valley Counseling Center, Inc CurrentSince Jun 9, 2024 Accepting new patients

Locations

303 Beech St
Holyoke, MA 01040
Phone (413) 540-1155

120 Maple St
Springfield, MA 01103
Phone (413) 737-3730

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rvccinc/r4/

Organizations & group practices 2

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": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1316361488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010410791",
            "telephone_number": "413-540-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAPLE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032203",
            "telephone_number": "413-540-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN-MARQUEZ",
        "first_name": "AMALID",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "5578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.