Organization Active NPI

Prevail Counseling PLLC

  • Case Management Agency
  • El Paso, TX
National Provider Identifier
1053083113
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PREVAIL COUNSELING PLLC
Practice address
9425 Conejo LN
El Paso, TX 79907-5613
Phone
(915) 777-6072
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Marissa Gonzalez, CMNPI 1821753823
Title
Case Manager
Phone
(915) 777-6072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

9425 Conejo LN
El Paso, TX 79907-5613

Mailing address

11860 Vista del Sol Dr Ste 104
El Paso, TX 79936-6128
Phone (915) 329-8149

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL mgonzatwisteddollz@gmail.com

National Provider Directory

National Provider Directory

Locations

11860 Vista del Sol Dr
Ste 104
El Paso, TX 79936
Phone (915) 777-6072

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1053083113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11860 VISTA DEL SOL DR STE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366128",
            "telephone_number": "915-329-8149",
            "fax_number": "915-773-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 CONEJO LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799075613",
            "telephone_number": "915-777-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAIL COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "915-777-6072",
        "authorized_official_credential": "CM"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "mgonzatwisteddollz@gmail.com",
            "affiliation": "N",
            "address_1": "9425 Conejo Ln",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799075613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.