Adult and Adolescent Counseling, PLLC
Organization Active NPI Clinical Psychologist · El Paso, TX
NPI 1063568624 · NPPES record last updated Feb 27, 2024
Key facts
- NPI
- 1063568624
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 34562 (TX)
- Legal business name
- ADULT AND ADOLESCENT COUNSELING, PLLC
- Practice address
- 2332 Montana Ave
El Paso, TX 79903-3604 - Phone
- (915) 545-1188
- Fax
- (915) 544-9107
- NPI assigned
- Jan 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Betsy Nacim, PHD
- Title
- Director
- Phone
- (915) 545-1188
Practitioners 4
-
Karla Auten, LCSW
-
Betsy E Nacim, PH.D.
-
Toni Wintroub Aguilar, LCSW
-
Diana Duron, LCSW, LMFT, LCDC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040624001213 | TX | Part B Supplier - Clinic/Group Practice | 5799761482 |
Receives reassigned benefits from 2 practitioners Practice locations: El Paso, TX |
National Provider Directory
Locations
2332 Montana Ave
El Paso, TX 79903
Phone (914) 545-1188
2330 Montana Ave
El Paso, TX 79903
Phone (915) 545-1188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 34562 | TX | Yes |
| Clinical Social Worker |
1041C0700X | 30164 | TX |
Addresses
Primary practice location
2332 Montana Ave
El Paso, TX 79903-3604
Mailing address
2332 Montana Ave
El Paso, TX 79903-3604
Phone (915) 545-1188
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002KX | Other | TX | GROUP BCBS NUMBER |
| 149971701 | Medicaid | TX |
Other providers in El Paso, TX
- Adam Adler
- Adobe Homecare, Inc
- Adolfo Benitez, MD, PA
- Adore N Hope Personal Care
- Odaro Adu
- Adult Foster Care
- Adult Solution Home Health, Inc
- Olufemi Ayobami Aduroja
- Mikhil Adusumilli
- Advanced Cardiology Care, PA
All providers in El Paso, TX · Clinical Psychologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.