Active NPI
Manuel G Olvera, LPC
- Professional Counselor
- Bay City, TX
National Provider Identifier
1003330986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74104
- Practice address
- 400 Avenue F
Bay City, TX 77414-4102 - Phone
- (979) 245-9231
- Fax
- (979) 245-3569
- NPI assigned
- Aug 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 74104 | TX | Primary |
Addresses
Primary practice location
400 Avenue F
Bay City, TX 77414-4102
Mailing address
4910 Airport Ave Ste D
Rosenberg, TX 77471-5759
Phone (979) 245-9231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Dallas, TX 75373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74104 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Even Counseling PLLC | Professional | Current | Accepting new patients |
| Texana Center | Past | Accepting new patients |
Locations
539 W Commerce St
Dallas, TX 75208
Phone (385) 377-9352
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Dallas, TX
- NPI 1093441180
-
- Multi-Specialty Clinic/Center
- Rosenberg, TX
- NPI 1912954058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1003330986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 AIRPORT AVE STE D",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774715759",
"telephone_number": "979-245-9231",
"fax_number": "979-245-3569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 AVENUE F",
"city": "BAY CITY",
"state": "TX",
"postal_code": "774144102",
"telephone_number": "979-245-9231",
"fax_number": "979-245-3569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLVERA",
"first_name": "MANUEL",
"middle_name": "G",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-01",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.