Active NPI
Prevail Counseling PLLC
- Case Management Agency
- El Paso, TX
National Provider Identifier
1053083113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marissa Gonzalez, CM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | mgonzatwisteddollz@gmail.com |
National Provider Directory
National Provider DirectoryLocations
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.