Active NPI
James Shorty
- Mental Health Counselor
- Farmington, NM
National Provider Identifier
1750170122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1009 Ridgeway PL
Farmington, NM 87401-2092 - Phone
- (505) 402-6886
- NPI assigned
- May 2, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1009 Ridgeway PL
Farmington, NM 87401-2092
Mailing address
1009 Ridgeway PL
Farmington, NM 87401-2092
Other practice location 1
1300 E 20th St
Farmington, NM 87401-9022
Phone (505) 402-6886
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knew Creation LLC | Single Specialty | 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": "1746144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1750170122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 RIDGEWAY PL",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874012092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 RIDGEWAY PL",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874012092",
"telephone_number": "505-402-6886"
}
],
"practiceLocations": [
{
"address_1": "1300 E 20th St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874019022",
"country_code": "US",
"telephone_number": "505-402-6886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHORTY",
"first_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-02",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.