Individual provider Active NPI

Carmen Gentry-Becerra, LCSW

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1104512573
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60636 Issued in TX
Practice address
9440 Viscount Blvd Ste 202
El Paso, TX 79925-7034
Phone
(915) 206-0862
Fax
(915) 234-2065
NPI assigned
Apr 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 60636 TX Primary

Addresses

Primary practice location

9440 Viscount Blvd Ste 202
El Paso, TX 79925-7034

Mailing address

9440 Viscount Blvd Ste 202
El Paso, TX 79925-7034
Phone (915) 206-0862

Other identifiers 2

IdentifierTypeStateIssuer
457180405MedicaidTX
1922799808OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230511000964 TX Practitioner - Clinical Social Worker 0840656146 Reassigns benefits to 1 organization
I20230525001229 TX Practitioner - Clinical Social Worker 0840656146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care LLCGroup PAC ID 7719126655, 67 clinicians

Practice addresses (Care Compare)

607 Parkside Dr
Groesbeck, TX 76642-1124
Phone (718) 298-4375

9440 Viscount Blvd
Suite 202
El Paso, TX 79925-7034
Phone (915) 206-0862

Merit-based Incentive Payment System (MIPS)

Final score
88.99 of 100Reported as group
Quality
80
Improvement activities
40
Cost
66.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60636TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care LLC CurrentSince May 1, 2023 Accepting new patients
Discovering Yourself Counseling Services Clinical CurrentSince May 19, 2023 Accepting new patients
Embracing Thoughts Counseling PLLC PastSince Dec 24, 2023 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1475 Raynolds St
El Paso, TX 79903
Phone (915) 565-4677

9434 Viscount Blvd
Ste 142
El Paso, TX 79925
Phone (915) 206-0862

9440 Viscount Blvd
Ste 202
El Paso, TX 79925
Phone (915) 206-0862

1605 George Dieter Dr
Ste 636
El Paso, TX 79936
Phone (915) 274-1617

9434 Viscount Blvd
El Paso, TX 79925
Phone (915) 277-1695

9434 Viscount Blvd
Ste 221
El Paso, TX 79925
Phone (915) 206-0862

607 Parkside Dr
Groesbeck, TX 76642
Phone (254) 729-3245

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1104512573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 VISCOUNT BLVD STE 202",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257034",
            "telephone_number": "915-206-0862",
            "fax_number": "915-234-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 VISCOUNT BLVD STE 202",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257034",
            "telephone_number": "915-206-0862",
            "fax_number": "915-234-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY-BECERRA",
        "first_name": "CARMEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "457180405",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922799808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.