Olga T Mercado, LCDCI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13876 Issued in TX

Practice address

1705 N FM 179
Lubbock, TX 79416-9441

Phone

(806) 797-8003

NPI assigned

Jun 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Camino Real Community MHMR Center

  • Case Management Agency
  • Lytle, TX
  • NPI 1154411262
  Medicare reassignment
• Managed Care Center for Addictive and Other Disorders Inc

  • Point of Service
  • Lubbock, TX
  • NPI 1790043404
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1023370491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 26TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794111524",
            "telephone_number": "806-780-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 N FM 179",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794169441",
            "telephone_number": "806-797-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "OLGA",
        "middle_name": "T",
        "credential": "LCDCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065363601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Menlove Dental, PLLC
• Benjamin Menlove, DDS
• Theresa Jean Menzel, NP
• Micaela Mercado
• Nestor Felipe Mercado
• Andrea Merchant
• Landon Merchant, DC
• Zafira Merchant, NP
• Mercury Medical
• Mercy Health and Consulting

• Addiction (Substance Use Disorder) Counselor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.

Verify at the official NPI Registry.