Individual provider Active NPI

James H Dumesnil, Jr., MS, LPCC

  • Professional Counselor
  • Taos, NM
National Provider Identifier
1710254800
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0114151 Issued in NM
Practice address
208 Ranchitos Rd
Suite B
Taos, NM 87571-6894
Phone
(575) 613-2222
Fax
(575) 751-9529
NPI assigned
Nov 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0114151 NM Primary

Addresses

Primary practice location

208 Ranchitos Rd
Suite B
Taos, NM 87571-6894

Mailing address

PO Box 1274
El Prado, NM 87529-1274
Phone (575) 613-2222

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231130000330 NM Practitioner - Mental Health Counselor 8426406505 Practice locations: El Prado, NM; Taos, NM

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5 Beauty Way
El Prado, NM 87529-4405
Phone (575) 613-2222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0114151NMMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1710254800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1274",
            "city": "EL PRADO",
            "state": "NM",
            "postal_code": "875291274",
            "telephone_number": "575-613-2222",
            "fax_number": "575-751-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 RANCHITOS RD",
            "address_2": "SUITE B",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716894",
            "telephone_number": "575-613-2222",
            "fax_number": "575-751-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMESNIL,",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0114151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.