Active NPI
Sergio Ignacio Ortiz Jr.
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1033747712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2922 Rosedale St
Houston, TX 77004-6188 - Phone
- (713) 874-1234
- NPI assigned
- Mar 30, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | TX | Primary |
Addresses
Primary practice location
2922 Rosedale St
Houston, TX 77004-6188
Mailing address
9702 N Sam Houston Pkwy E Apt 1133
Humble, TX 77396-4550
Phone (214) 254-8245
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mm@bayoubhs.com | Health Information Exchange (HIE) | |
| Other URL | mm@bayoubhs.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1033747712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9702 N SAM HOUSTON PKWY E APT 1133",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773964550",
"telephone_number": "214-254-8245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2922 ROSEDALE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770046188",
"telephone_number": "713-874-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "SERGIO",
"middle_name": "IGNACIO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-30",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mm@bayoubhs.com",
"affiliation": "N",
"endpointDescription": "mm@bayoubhs.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mm@bayoubhs.com",
"address_1": "2922 Rosedale St",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770046188",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mm@bayoubhs.com",
"affiliation": "N",
"endpointDescription": "mm@bayoubhs.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mm@bayoubhs.com",
"address_1": "2922 Rosedale St",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770046188",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.