MR. MARTIN JAMES ROMERO (NPI# 1538361811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538361811 |
| Entity Type | Individual |
| Full Name | MR. MARTIN JAMES ROMERO |
| Credential | L.P.C. |
| Practice Address |
735 West Dr Deridder LA 70634-3410 |
| Practice Telephone | 9853122525 |
| Practice Fax Number | 3372211425 |
| Mailing Telephone | 9853122525 |
| Mailing Fax Number | 3372211425 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2017-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CCS# 55 | LA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LAC# 1064 | LA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC #4906 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 600887228 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528086683 | Martin R Romero | Emergency Medicine | 3096 Burkley Rd, Williamston, MI 48895-9065 | 2006-07-17 |
| 1760507438 | Martin Romero | Physical Therapist | 5320 Mark Dabling Blvd, Bldg 7 Suite 100, Colorado Springs, CO 80918-3839 | 2007-03-20 |
| Street Address |
735 WEST DR |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740751411 | Lauren Kay Jenkins | Counselor | 735 West Dr, Deridder, LA 70634-3410 | 2018-12-06 |
| 1659763738 | The Ministry of Reconciliation, Inc | Counselor | 735 West Dr, Deridder, LA 70634-3410 | 2015-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016164 | Just Health | Clinic/Center | 411 Bolivar Bishop Dr, Deridder, LA 70634 | 2020-06-02 |
| 1477193183 | Stacey Marie Legros | Occupational Therapy Assistant | 19503 Highway 171, Deridder, LA 70634 | 2020-01-10 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1902367568 | Residential Therapy Solutions, LLC | Physical Therapist | 19503 Hwy 171, Deridder, LA 70634 | 2019-03-27 |
| 1023583044 | Calcasieu Urgent Care LLC | Clinic/Center | 1017 N Pine Street, Deridder, LA 70634 | 2018-10-05 |
| 1235638222 | Melanie Welch, Fnp, LLC | Nurse Practitioner | 1420 Blankenship Dr., Deridder, LA 70634 | 2018-02-06 |
| 1265976617 | Jennifer Dianne Midgett | Nurse Practitioner | 2581 Highway 190 W, Deridder, LA 70634 | 2016-12-05 |
| 1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
| 1982835013 | Kathern Sue Hollifield | Physical Therapist | 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 | 2009-08-06 |
| 1750541777 | Tracy Winkley | Physical Therapist | 1744 Ball Rd, Deridder, LA 70634 | 2008-06-12 |
| Find all providers in zip 70634 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538268149 | Mark David Ifland | Counselor | 701 S Royal St, Deridder, LA 70634-4949 | 2006-09-21 |
| 1659763738 | The Ministry of Reconciliation, Inc | Counselor | 735 West Dr, Deridder, LA 70634-3410 | 2015-02-25 |
| 1245635044 | Nancy Grade | Counselor | 701 S Royal St, Deridder, LA 70634-4949 | 2014-10-23 |
| 1053450486 | Jessica May Williams-ashmore | Counselor | 106 W Port St, Deridder, LA 70634-4040 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363202 | Allison Gregerson | Counselor | 5016 Ithaca St, Metairie, LA 70006-2540 | 2020-10-14 |
| 1437766573 | Always Hope LLC | Counselor | 38105 Post Office Rd Ste 8, Prairieville, LA 70769-4296 | 2020-09-23 |
| 1801409313 | Divine Behavioral Health, LLC | Counselor | 8870 Youree Dr Ste 105, Shreveport, LA 71115-2512 | 2020-08-25 |
| 1912519083 | Tashara D Williams | Counselor | 3615 Crestview Cir, Shreveport, LA 71119-6522 | 2020-08-20 |
| 1649881020 | Grey Matter Concepts,inc. | Counselor | 5514 Music St., New Orleans, LA 70122 | 2020-08-11 |
| 1386255701 | Empowerment Consultants, LLC | Counselor | 3680 La- 1 South, Port Allen, LA 70767 | 2020-08-10 |
| 1700495538 | Michelle Waguespack | Counselor | 7641 Copperfield Ct, Baton Rouge, LA 70808-6769 | 2020-07-28 |
| 1093323214 | Scott Moran | Counselor | 902 C M Fagan Dr Ste F, Hammond, LA 70403-6043 | 2020-07-14 |
| 1700404175 | Gerard Williams | Counselor | 2621 Long Branch Dr, Marrero, LA 70072-5854 | 2020-07-11 |
| 1356966899 | Carey Bergeron | Counselor | 9721 Paula Dr, River Ridge, LA 70123-1915 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.