Active NPI
Debra Sillas, LCDC
- Counselor
- Deer Park, TX
National Provider Identifier
1033925698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 17181
- Practice address
- 4525 Glenwood Ave
Deer Park, TX 77536-7901 - Phone
- (832) 208-1282
- NPI assigned
- Dec 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Counselor | 101Y00000X | 17181 | TX | Primary |
Addresses
Primary practice location
4525 Glenwood Ave
Deer Park, TX 77536-7901
Mailing address
4525 Glenwood Ave
Deer Park, TX 77536-7901
Phone (832) 208-1282
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17181 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1033925698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 GLENWOOD AVE",
"city": "DEER PARK",
"state": "TX",
"postal_code": "775367901",
"telephone_number": "832-208-1282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 GLENWOOD AVE",
"city": "DEER PARK",
"state": "TX",
"postal_code": "775367901",
"telephone_number": "832-208-1282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILLAS",
"first_name": "DEBRA",
"name_prefix": "Mrs.",
"credential": "LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "17181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.