David Lee Rossen, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

T-CTL0220581 Issued in NM

Practice address

1600 Sutter PL
Clovis, NM 88101-4611

Phone

(575) 769-4490

Fax

(575) 769-4430

NPI assigned

Nov 19, 2021

Last updated

Nov 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agape Counseling, LLC

  • Clinical Social Worker
  • Clovis, NM
  • NPI 1245955111
  Medicare reassignment NPD
• Clovis Municipal Schools

  • Local Education Agency (LEA)
  • Clovis, NM
  • NPI 1174662316
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1700543147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19000",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881029000",
            "telephone_number": "575-769-4490",
            "fax_number": "575-769-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SUTTER PL",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014611",
            "telephone_number": "575-769-4490",
            "fax_number": "575-769-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSEN",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-CTL0220581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cadance Romero
• Kellyann Romero, BS
• Tudy Ann Romero
• Roosevelt County Special Hospital District (N/a)
• Samwel Rorya, NP
• John Dominick Rossi, DNP, APRN, PMHNP-BC
• Roswell Home Medical Inc (Major Medical)
• Nicholas J Rowley, MD
• Nicholas John Rowley II, DDS
• Andrew Roybal

• Mental Health Counselor in Clovis, NM
• Providers in Clovis, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.