Individual provider Active NPI

Carolyn Lopez Garcia, MS, LPC-ASSOCIATE

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1013694025
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
87963 Issued in TX
Practice address
9440 Viscount Blvd Ste 200
El Paso, TX 79925-7054
Phone
(915) 799-0747
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 87963 TX Primary

Addresses

Primary practice location

9440 Viscount Blvd Ste 200
El Paso, TX 79925-7054

Mailing address

9353 Viscount Blvd Apt 3096
El Paso, TX 79925-8027
Phone (915) 308-9974

Other practice location 1

8500 Boeing Dr
El Paso, TX 79925-1224
Phone (915) 308-9974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
87963TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Behavioral and Trauma Specialties, LLC Professional CurrentSince Apr 7, 2024 Accepting new patients

Locations

9440 Viscount Blvd
Ste 200
El Paso, TX 79925
Phone (915) 200-6094

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1013694025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9353 VISCOUNT BLVD APT 3096",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799258027",
            "telephone_number": "915-308-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 VISCOUNT BLVD STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257054",
            "telephone_number": "915-799-0747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 Boeing Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799251224",
            "country_code": "US",
            "telephone_number": "915-308-9974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ GARCIA",
        "first_name": "CAROLYN",
        "credential": "MS, LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "87963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.