Individual provider Active NPI

Marshall K Schroeder, PSYD

  • Mental Health Counselor
  • Las Cruces, NM
National Provider Identifier
1790154961
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1635 S Don Roser Dr
Las Cruces, NM 88011-4550
Phone
(575) 636-2506
NPI assigned
Sep 17, 2015
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1635 S Don Roser Dr
Las Cruces, NM 88011-4550

Mailing address

1635 S Don Roser Dr
Las Cruces, NM 88011-4550
Phone (575) 636-2506

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
I20230922003220 NM Practitioner - Clinical Psychologist 1850745977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inetmed RX2 Inc.Group PAC ID 2062796709, 7 clinicians

Practice addresses (Care Compare)

1635 S Don Roser Dr
Las Cruces, NM 88011-4550
Phone (575) 636-2506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inetmed RX2 Inc. CurrentSince Oct 1, 2023 Accepting new patients
Aloha Psychology LLC Past Accepting new patients

Locations

1635 S Don Roser Dr
Las Cruces, NM 88011
Phone (575) 522-1241

1635 S Don Roser Dr
Ste A
Las Cruces, NM 88011
Phone (575) 635-2506

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1790154961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 S DON ROSER DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114550",
            "telephone_number": "575-636-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 S DON ROSER DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114550",
            "telephone_number": "575-636-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "MARSHALL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-17",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.