Individual provider Active NPI

Ruben David Bermea Jr., LPC

  • Professional Counselor
  • Englewood, CO
National Provider Identifier
1871137117
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0018956 Issued in CO
Practice address
6350 S Havana St Apt 334
Englewood, CO 80111-5647
Phone
(720) 458-9346
NPI assigned
Oct 30, 2019
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 77051 TX
Mental Health Counselor 101YM0800X LPC.0018956 CO
Professional Counselor 101YP2500X LPC.0018956 CO Primary
Professional Counselor 101YP2500X 77051 TX

Addresses

Primary practice location

6350 S Havana St Apt 334
Englewood, CO 80111-5647

Mailing address

1500 N Grant St # 4182
Denver, CO 80203-1859
Phone (254) 462-5401

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

LicenseStateTypeSpecialty
LPC.0018956COMDMental Health Counselor
77051TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Room for Change Current Accepting new patients

Locations

3256 Southern Dr
Ste 461
Garland, TX 75043
Phone (469) 344-6639

618 Clara Barton Blvd
Ste 7
Garland, TX 75042
Phone (972) 382-5779

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": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1871137117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N GRANT ST # 4182",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031859",
            "telephone_number": "254-462-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 S HAVANA ST APT 334",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801115647",
            "telephone_number": "720-458-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMEA",
        "first_name": "RUBEN",
        "middle_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-30",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77051",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0018956",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018956",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.