Active NPI
Rosemarie Gallegos
- Mental Health Counselor
- Los Lunas, NM
National Provider Identifier
1780964346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- M-0590
- Practice address
- 735 Don Pasqual Rd NW
Los Lunas, NM 87031-8493 - Phone
- (505) 865-3350
- Fax
- (505) 865-4739
- NPI assigned
- Aug 26, 2011
- Sex
- Female
- Sole proprietor
- No
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 | M-0590 | NM | Primary |
Addresses
Primary practice location
735 Don Pasqual Rd NW
Los Lunas, NM 87031-8493
Mailing address
735 Don Pasqual Rd NW
PO Box 518
Los Lunas, NM 87031-8493
Phone (505) 865-3350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44842 | Medicaid | NM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-0590 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1780964346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 DON PASQUAL RD NW",
"address_2": "PO BOX 518",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870318493",
"telephone_number": "505-865-3350",
"fax_number": "505-865-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 DON PASQUAL RD NW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870318493",
"telephone_number": "505-865-3350",
"fax_number": "505-865-4739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "ROSEMARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-26",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "M-0590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44842",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.