MR. ROGER ALLEN DESALME JR. LPCC
NPI 1174536619
Counselor - Professional in Farmington, NM

Q: What is Roger Desalme's NPI number?

The NPI number for Roger Desalme is 1174536619. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Q: What is Roger Desalme's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Roger Desalme was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment

1615 OJO COURT, FARMINGTON, NM 87401(505) 564-4804(505) 564-4857 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Roger Allen Desalme Jr. Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROGER ALLEN DESALME JR. LPCC (NPI 1174536619) is an individual professional provider in Farmington, New Mexico, licensed in New Mexico (CCMH0205461) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1174536619

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. ROGER ALLEN DESALME JR.Credential: LPCC

Location Address1615 OJO COURTFarmington, NM 87401

Mailing Address1615 Ojo CourtFarmington, NM 87401 · (505) 564-4804 · Fax (505) 564-4857

Phone(505) 564-4804

Fax(505) 564-4857

Sole ProprietorYes

Medical School CMSOtherGraduated 1996

Enumeration DateAugust 14, 2006

Last NPPES UpdateAugust 14, 2019

✔ NPI 1174536619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in NM · CCMH0205461✔ Licensed in TX · 16736

1615 OJO COURT, Farmington, NM 87401

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Other Identifiers 1

OtherCCMH0205461NM · Clinical Professional Counselor

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Roger Allen Desalme Jr. Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264873728

PECOS Enrollment IDI20240515000680

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE J BENALLY

Counselor (Addiction (Substance Use Disorder))