Individual provider Active NPI

Lidia Y Ortega, LPC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1063537678
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
20099 Issued in TX
Practice address
7722 N Loop Dr
El Paso, TX 79915-2907
Phone
(915) 782-4014
Fax
(915) 850-0249
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 20099 TX Primary

Addresses

Primary practice location

7722 N Loop Dr
El Paso, TX 79915-2907

Mailing address

7722 N Loop Dr
El Paso, TX 79915-2907
Phone (915) 771-7824

Other identifiers 3

IdentifierTypeStateIssuer
20099OtherTXLPC
9417OtherTXLCDC
183248701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904001078 TX Order and Referring Only - Mental Health Counselor 4486194586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20099TXMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: lidia.ortega@pvida.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063537678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7722 N LOOP DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799152907",
            "telephone_number": "915-771-7824",
            "fax_number": "915-850-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7722 N LOOP DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799152907",
            "telephone_number": "915-782-4014",
            "fax_number": "915-850-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "LIDIA",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "20099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "20099",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCDC",
            "identifier": "9417",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183248701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.