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Leroy Jim, LPCC, CRC

Professional Counselor in Gallup, NM · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063627354

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Registry record

Entity type Individual (Type 1)
Name Leroy Jim
Credential LPCC, CRC
Sex Male
Practice address 2025 E Aztec Ave, Gallup, NM, 87301
Phone (505) 863-3828
Enumeration date May 11, 2007
Last updated in NPPES Jun 15, 2016

Taxonomy & licenses

225C00000X Rehabilitation Counselor Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 00056257 Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 0146941 (NM) Primary

Other identifiers

Identifier Type State Issuer
43929842 Medicaid NM -
76986063 Medicaid NM -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Leroy Jim?
The National Provider Identifier (NPI) for Leroy Jim is 1063627354, a Type 1 (individual) record in the CMS NPPES registry.
Where does Leroy Jim practice?
The practice location on file with NPPES is in Gallup, NM. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-06-15.