Individual provider Active NPI

Caleb Thomas Romm, LPC

  • Counselor
  • Lincoln, IL
National Provider Identifier
1861228967
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178020334 Issued in IL
Practice address
515 N College St
Lincoln, IL 62656-1401
Phone
(217) 732-9681
Fax
(217) 735-6527
NPI assigned
Sep 13, 2024
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178020334 IL Primary

Addresses

Primary practice location

515 N College St
Lincoln, IL 62656-1401

Mailing address

515 N College St
Lincoln, IL 62656-1401
Phone (217) 732-9681

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

State licenses

LicenseStateTypeSpecialty
178020334ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Clinic LLP Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: calebromm@sfc.allscriptsdirect.net

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, 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": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1861228967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N COLLEGE ST",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626561401",
            "telephone_number": "217-732-9681",
            "fax_number": "217-735-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N COLLEGE ST",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626561401",
            "telephone_number": "217-732-9681",
            "fax_number": "217-735-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMM",
        "first_name": "CALEB",
        "middle_name": "THOMAS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178020334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.