Lourdes Mantecon-Garza, SEXUALITY COUNSELOR

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1196149 Issued in IL

Practice address

711 W Nolana Ave Ste 103Q
McAllen, TX 78504-3082

Phone

(956) 878-6871

NPI assigned

Jan 13, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1043850589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W NOLANA AVE STE 103Q",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043082",
            "telephone_number": "956-878-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W NOLANA AVE STE 103Q",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043082",
            "telephone_number": "956-878-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTECON-GARZA",
        "first_name": "LOURDES",
        "name_prefix": "Mrs.",
        "credential": "SEXUALITY COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "1196149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF SEXUALITY EDUCATORS COUNSELORS AND THERAPISTS AASECT",
            "identifier": "1196149",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in McAllen, TX
• Providers in McAllen, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.