Individual provider Active NPI

Jerry Romero Evaro, LMFT

  • Marriage & Family Therapist
  • Las Cruces, NM
National Provider Identifier
1689948523
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T-0141581 Issued in NM
Practice address
151 S Walnut St
Suite a-1
Las Cruces, NM 88001-2605
Phone
(575) 527-5770
Fax
(575) 532-1928
NPI assigned
Feb 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T-0141581 NM Primary

Addresses

Primary practice location

151 S Walnut St
Suite a-1
Las Cruces, NM 88001-2605

Mailing address

PO Box 16199
Las Cruces, NM 88004-6199
Phone (575) 527-5770

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
T-0141581NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Darlin Inc Dba Horizon Services Past Accepting new patients

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": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1689948523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16199",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880046199",
            "telephone_number": "575-527-5770",
            "fax_number": "575-532-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S WALNUT ST",
            "address_2": "SUITE A-1",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012605",
            "telephone_number": "575-527-5770",
            "fax_number": "575-532-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVARO",
        "first_name": "JERRY",
        "middle_name": "ROMERO",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "T-0141581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.