Ivan Noe Torres, LMHC
Individual provider Active NPI Mental Health Counselor · Anthony, NM
NPI 1043729007 · NPPES record last updated Sep 21, 2017
Key facts
- NPI
- 1043729007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 0191561 (NM)
- Practice address
- 254 Merida Dr
Anthony, NM 88021-8225 - Phone
- (575) 649-9327
- NPI assigned
- Sep 21, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240730002023 | TX | Practitioner - Mental Health Counselor | 1658818414 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0191561 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vcounselors PLLC | Current |
Accepting new patients | |
| Deep Eddy Psychotherapy Management, LLC | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
| Alaniz Counseling and Behavioral Center, P.C. | Current |
Accepting new patients | |
| Deep Centered Psychiatry PLLC | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990
17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0191561 | NM | Yes |
Addresses
Primary practice location
254 Merida Dr
Anthony, NM 88021-8225
Mailing address
945 S Mesa Hills Dr Apt 3215
El Paso, TX 79912-5197
Phone (915) 491-1834
Other providers in Anthony, NM
- The Community Foundation of Southern New Mexico
- Barbara Ann Thompson
- Veronica Torres Cervantes
- Milagros Torres Gonzalez
- Christina Torres
- Michael Torres
- Rosario H. Torres
- Allison Jean Trevino
- Sarah Triviz
- Kelsey Tucke
All providers in Anthony, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.