Richard Castillo Fajardo, MA, LPCC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0074081 Issued in NM

Practice address

500 Gold Ave SW FL 11
Albuquerque, NM 87102-3118

Phone

(505) 385-4284

Fax

(505) 248-7298

NPI assigned

Mar 10, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1790955375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6884 AUGUSTA HILLS DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871448605",
            "telephone_number": "505-385-4284",
            "fax_number": "505-248-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GOLD AVE SW FL 11",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023118",
            "telephone_number": "505-385-4284",
            "fax_number": "505-248-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "RICHARD",
        "middle_name": "CASTILLO",
        "name_prefix": "Mr.",
        "credential": "MA, LPCC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0074081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen D Faith, MD
• Meredith Lynn Faith, PH.D.
• Syed Adeel Faizi, M.D.
• Andrea Fajardo
• John Joseph Fajardo
• Farnoush Falakrou, PHARM,. D.
• Maura R Falcon-Linares
• Guadalupe Falcon
• Aurelio Jose Falconi, MD
• Linda Ann Falen, LPCC

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, 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 Mar 10, 2008; 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.