Individual provider Active NPI

Leticia R Betancourt, M.S., NCC, LPC

  • Professional Counselor
  • Corpus Christi, TX
National Provider Identifier
1053890889
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
76589 Issued in TX
Practice address
3434 S Alameda St
Corpus Christi, TX 78411-1720
Phone
(361) 739-1005
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 76589 TX Primary

Addresses

Primary practice location

3434 S Alameda St
Corpus Christi, TX 78411-1720

Mailing address

15641 Cruiser
B
Corpus Christi, TX 78418
Phone (361) 739-1005

Other practice location 1

15641 Cruiser
B
Corpus Christi, TX 78418
Phone (361) 739-1005

Other names 1

  • Tish Betancourt Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
76589TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1053890889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15641 CRUISER",
            "address_2": "B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78418",
            "telephone_number": "361-739-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111720",
            "telephone_number": "361-739-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15641 Cruiser",
            "address_2": "B",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "78418",
            "country_code": "US",
            "telephone_number": "361-739-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "LETICIA",
        "middle_name": "R",
        "credential": "M.S., NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TISH",
            "last_name": "BETANCOURT",
            "credential": "M.S., NCC, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.