Individual provider Active NPI

Francisco Fuentes Ayala, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1003554130
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107795 Issued in TX
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

Updated by the provider on Feb 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250320003464 TX Practitioner - Clinical Social Worker 2163944919 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107795TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Montrose Center Clinical CurrentSince Jan 13, 2025 Accepting new patients
Montrose Counseling Center, Inc. PastSince May 29, 2022 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.

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

Verify at the official NPI Registry.