Leroy Jim, LPCC, CRC
NPI 1063627354 · Professional Counselor · Gallup, NM
Leroy Jim, LPCC, CRC is a Professional Counselor provider in Gallup, NM (NPI 1063627354).
Provider details
- NPI number
- 1063627354
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC, CRC
- Sex
- Male
- Sole proprietor
- No
- License
- 00056257
Specialties & taxonomies
Behavioral Health & Social Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2016-06-15
Frequently asked questions
- What is Leroy Jim's NPI number?
- Leroy Jim's National Provider Identifier (NPI) is 1063627354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Leroy Jim's specialty?
- Leroy Jim is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Leroy Jim located?
- Leroy Jim's practice location on file with NPPES is 2025 E Aztec Ave, Gallup, NM 87301-4803.
- What is Leroy Jim's phone number?
- The practice phone number listed in the NPPES registry for Leroy Jim is (505) 863-3828.
- Is Leroy Jim's NPI active?
- Yes — Leroy Jim's NPI (1063627354) is active in the NPPES registry as of the last update on 2016-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.