Active NPI
Milliam Enid Roman, LPC
- Professional Counselor
- Carolina, PR
National Provider Identifier
1477048254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2532
- Practice address
- 90 Calle Antonio Jimenez Landrau
Carolina, PR 00985 - Phone
- (787) 944-4411
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2532 | PR | Primary |
Addresses
Primary practice location
90 Calle Antonio Jimenez Landrau
Carolina, PR 00985
Mailing address
415 Lerida
Mansiones Ciudad Jardin
Cagus, PR 00727
Phone (787) 370-6643
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6957 | Other | PR | SOCIAL WORKERS LICENSE |
| 2532 | Other | PR | COUNSELORS LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1477048254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 LERIDA",
"address_2": "MANSIONES CIUDAD JARDIN",
"city": "CAGUS",
"state": "PR",
"postal_code": "00727",
"telephone_number": "787-370-6643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 CALLE ANTONIO JIMENEZ LANDRAU",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-944-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "MILLIAM",
"middle_name": "ENID",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "PR",
"license": "2532",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORKERS LICENSE",
"identifier": "6957",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELORS LICENSE",
"identifier": "2532",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.