Active NPI
Francisco Fuentes Ayala, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1003554130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107795
- Practice address
- 5610 Green Rise LN
Houston, TX 77091-1019 - Phone
- (832) 409-2961
- NPI assigned
- May 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 107795 | TX | Primary |
Addresses
Primary practice location
5610 Green Rise LN
Houston, TX 77091-1019
Mailing address
5900 Balcones Dr # 27555
Austin, TX 78731-4257
Phone (832) 409-2961
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107795 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Montrose Center | Clinical | Current | Accepting new patients |
| Montrose Counseling Center, Inc. | Past | Accepting new patients |
Locations
2222 Cleburne St
Houston, TX 77004
Phone (713) 497-5549
401 Branard St
Fl 2
Houston, TX 77006
Phone (713) 529-0037
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Houston, TX
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- NPI 1255652855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1003554130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BALCONES DR # 27555",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314257",
"telephone_number": "832-409-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 GREEN RISE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770911019",
"telephone_number": "832-409-2961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES AYALA",
"first_name": "FRANCISCO",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-27",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "107795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.