Individual provider Active NPI

Joe R Morales, LPC

  • Professional Counselor
  • Lufkin, TX
National Provider Identifier
1023193232
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15494 Issued in TX
Practice address
103 Wildlife LN
Lufkin, TX 75904-1615
Phone
(936) 238-3868
Fax
(936) 238-3867
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 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 15494 TX Primary

Addresses

Primary practice location

103 Wildlife LN
Lufkin, TX 75904-1615

Mailing address

103 Wildlife LN
Lufkin, TX 75904-1615
Phone (936) 238-3868

Other practice location 1

1132 NW Stallings Dr
Nacogdoches, TX 75964-3405
Phone (936) 238-3868

Other identifiers 3

IdentifierTypeStateIssuer
26485OtherMAGELLAN
4019LCOtherTXBLUE CROSS BLUE SHIELD TX
0959405-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231208000604 TX Practitioner - Mental Health Counselor 6507214053 Reassigns benefits to 2 organizations
I20240411000883 MI Practitioner - Mental Health Counselor 6507214053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15494TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Forensic & Mental Health Services, PLLC CurrentSince Jun 23, 2024 Accepting new patients
Heart and Mind Counseling, LLC CurrentSince Mar 4, 2024 Accepting new patients
The Gulf Coast Center CurrentSince Jan 1, 2024 Accepting new patients
Counseling Center of East Texas PLLC PastSince Apr 24, 2022 Accepting new patients

Locations

135 N Old Woodward Ave
Ste 200
Birmingham, MI 48009
Phone (707) 815-0374

101 Tigner St
Angleton, TX 77515
Phone (800) 710-4322

4444 W Main St
League City, TX 77573

103 Wildlife Ln
Lufkin, TX 75904
Phone (936) 238-3868

7510 FM 1765
Texas City, TX 77591
Phone (409) 935-6083

Organizations & group practices 4

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1023193232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WILDLIFE LN",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759041615",
            "telephone_number": "936-238-3868",
            "fax_number": "936-238-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WILDLIFE LN",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759041615",
            "telephone_number": "936-238-3868",
            "fax_number": "936-238-3867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1132 NW Stallings Dr",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759643405",
            "country_code": "US",
            "telephone_number": "936-238-3868",
            "fax_number": "936-238-3867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "JOE",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "26485",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "4019LC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0959405-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.