Active NPI
Lorenza Trevino, L.P.C.
- Professional Counselor
- Rio Grande City, TX
National Provider Identifier
1093740177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20049
- Practice address
- 206 S Avasolo St
Rio Grande City, TX 78582-4523 - Phone
- (956) 487-0464
- Fax
- (956) 488-9641
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 20049 | TX | Primary |
Addresses
Primary practice location
206 S Avasolo St
Rio Grande City, TX 78582-4523
Mailing address
PO Box 534
Rio Grande City, TX 78582-0534
Phone (956) 437-6867
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178455501 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20049 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1093740177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 534",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785820534",
"telephone_number": "956-437-6867",
"fax_number": "956-488-9641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 S AVASOLO ST",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785824523",
"telephone_number": "956-487-0464",
"fax_number": "956-488-9641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "LORENZA",
"name_prefix": "Mrs.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "20049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178455501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rio Grande City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.