Individual provider Active NPI

Jorge Orozco, MENTAL HEALTH COACH

  • Pastoral Counselor
  • Fort Worth, TX
National Provider Identifier
1114628690
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
1349187 Issued in TX
Practice address
2606 Hemphill St
Fort Worth, TX 76110-5200
Phone
(817) 715-3180
NPI assigned
Mar 13, 2023
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 1349187 TX Primary
Mental Health Counselor 101YM0800X C-MHC-301 VA

Addresses

Primary practice location

2606 Hemphill St
Fort Worth, TX 76110-5200

Mailing address

400 N Ervay St Unit 131504
Dallas, TX 75313-0157
Phone (945) 247-7074

Other identifiers 4

IdentifierTypeStateIssuer
C-MHC-301OtherAMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS
1349187OtherPREPARE/ENRICH
C-MHC-101OtherAMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS
C-MHC-201OtherAMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS

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
C-MHC-301VAMDMental Health Counselor
1349187TXMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1114628690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N ERVAY ST UNIT 131504",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753130157",
            "telephone_number": "945-247-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HEMPHILL ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761105200",
            "telephone_number": "817-715-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OROZCO",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "MENTAL HEALTH COACH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "TX",
            "license": "1349187",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "C-MHC-301",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS",
            "identifier": "C-MHC-301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREPARE/ENRICH",
            "identifier": "1349187",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS",
            "identifier": "C-MHC-101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS",
            "identifier": "C-MHC-201",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.