Jordan Santos Conrado Prieto, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

6500 Quaker Ave Ste D
Lubbock, TX 79413-5138

Phone

(806) 687-5413

Fax

(806) 317-1588

NPI assigned

Oct 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Journeys Counseling CenterGroup PAC ID 8426491341, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Journeys Counseling Center

  • Professional Counselor
  • Lubbock, TX
  • NPI 1144791617
  Medicare reassignment Care Compare group NPD
• Kristi Hosek, Inc

  • Mental Health Counselor
  • Lubbock, TX
  • NPI 1568834398
  NPD (past)
• Managed Care Center for Addictive and Other Disorders Inc

  • Point of Service
  • Lubbock, TX
  • NPI 1790043404
  NPD (past)

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1083124440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 QUAKER AVE STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 QUAKER AVE STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135138",
            "telephone_number": "806-687-5413",
            "fax_number": "806-317-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "JORDAN",
        "middle_name": "SANTOS CONRADO",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mika Jane Price
• Patricia Marshel Price, LVN
• Sarah Price, NP
• Ashley Marie Priego, MD
• Cannin Prieto, RBT
• Sofia Kennedy Prieto, M.D.
• Elaine Prince
• Michael Matthew Pringle, PA-C
• Patrick Pritchett, RPH
• Karla Privett, LCSW

• Professional Counselor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.