Individual provider Active NPI

Gilberto Jaime Garcia, LPC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1083777338
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19311 Issued in TX
Practice address
6090 Surety Dr
Ste. 200
El Paso, TX 79905-2061
Phone
(915) 781-1337
Fax
(915) 881-4959
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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 19311 TX Primary

Addresses

Primary practice location

6090 Surety Dr
Ste. 200
El Paso, TX 79905-2061

Mailing address

6090 Surety Dr
Ste. 200
El Paso, TX 79905-2061
Phone (915) 781-1337

Other identifiers 1

IdentifierTypeStateIssuer
174201701MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
19311TXMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1083777338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 SURETY DR",
            "address_2": "STE. 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052061",
            "telephone_number": "915-781-1337",
            "fax_number": "915-881-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6090 SURETY DR",
            "address_2": "STE. 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052061",
            "telephone_number": "915-781-1337",
            "fax_number": "915-881-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "GILBERTO",
        "middle_name": "JAIME",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174201701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "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 Mar 31, 2010; 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.