Hildebrando Mireles III, LPC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

65437 Issued in TX

Practice address

1089 Del Rio Blvd Ste a
Eagle Pass, TX 78852-3453

Phone

(830) 757-0117

Fax

(830) 757-0119

NPI assigned

Nov 3, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1083941686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 AMBERINA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453858",
            "telephone_number": "830-757-0117",
            "fax_number": "830-757-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 DEL RIO BLVD STE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523453",
            "telephone_number": "830-757-0117",
            "fax_number": "830-757-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRELES",
        "first_name": "HILDEBRANDO",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-03",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65437",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "65437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medi-Cab Express of Texas, LP
• Medical Transports of South Texas, Inc.
• Gabriel A Meraz, D.D.S.
• Merida Home Health of Eagle Pass LLC
• Merida Hospice of Eagle Pass LLC
• Manjula Mittal, M.D
• Charla Mixon, APRN-CNP
• MM Medical Supplies LLC
• Liz Estefania Molina
• Monarch Speech Therapy Services LLC

• Mental Health Counselor in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.