Individual provider Active NPI

James Daniel Romo

  • Mental Health Counselor
  • Schertz, TX
National Provider Identifier
1417668336
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
90622 Issued in TX
Practice address
410 Aero Ave
Schertz, TX 78154-1806
Phone
(214) 579-4178
NPI assigned
Dec 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 90622 TX Primary

Addresses

Primary practice location

410 Aero Ave
Schertz, TX 78154-1806

Mailing address

410 Aero Ave
Schertz, TX 78154-1806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260121004135 TX Practitioner - Mental Health Counselor 1052898095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21111 Amalfi Oaks
San Antonio, TX 78259-1722

2411 NE Loop
410 Suite 114
San Antonio, TX 78217-6600

410 Aero Ave
Schertz, TX 78154-1806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90622TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Graceland Psychiatric and Neuromodulation Center PLLC CurrentSince Jan 12, 2026 Accepting new patients

Locations

2003 Rogers Rd
Ste 106
San Antonio, TX 78251
Phone (210) 375-5000

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1417668336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 AERO AVE",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AERO AVE",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541806",
            "telephone_number": "214-579-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMO",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "90622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.