South Texas Counseling & Psychological Testing

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

19806 Issued in TX

Legal business name

SOUTH TEXAS COUNSELING & PSYCHOLOGICAL TESTING

Practice address

3505 Boca Chica Blvd
Suite 149
Brownsville, TX 78521-4214

Phone

(956) 574-0951

NPI assigned

Oct 8, 2008

Organization subpart

No

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

Authorized official

Name

Roberto De Anda, L.P.C.

Title

Licensed Professional Counselor

Phone

(956) 455-5983

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1083865075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 BOCA CHICA BLVD",
            "address_2": "SUITE 149",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214214",
            "telephone_number": "956-574-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 BOCA CHICA BLVD",
            "address_2": "SUITE 149",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214214",
            "telephone_number": "956-574-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS COUNSELING & PSYCHOLOGICAL TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "DE ANDA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "956-455-5983",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176133002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.