Individual provider Active NPI

Cristian Obed Tovar, LPC

  • Professional Counselor
  • Corpus Christi, TX
National Provider Identifier
1124653563
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78953 Issued in TX
Practice address
4639 Corona Dr Ste 34
Corpus Christi, TX 78411-5430
Phone
(361) 442-4024
Fax
(361) 806-9491
NPI assigned
Mar 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 78953 TX Primary

Addresses

Primary practice location

4639 Corona Dr Ste 34
Corpus Christi, TX 78411-5430

Mailing address

PO Box 61226
Corpus Christi, TX 78466-1226
Phone (361) 442-4024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231122000950 TX Practitioner - Mental Health Counselor 9931557469 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gateway Community Health Center IncGroup PAC ID 0941193510, shared by 11 NPIs, 22 clinicians
Stellar Clinic CT PLLCGroup PAC ID 0840633368, 46 clinicians

Practice addresses (Care Compare)

1515 Pappas St
Laredo, TX 78041-1705
Phone (956) 795-8100

8990 Kirby Dr
Suite 220
Houston, TX 77054-2853
Phone (248) 704-5837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
78953TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Professional CurrentSince Oct 9, 2025 Accepting new patients
Gateway Community Health Center, Inc Single Specialty Current Accepting new patients
Gateway Community Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Coastal Bend Psychological Associates Professional CurrentSince Jan 1, 2024 Accepting new patients
Gateway Community Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Becoming You Psychotherapy Center Inc Professional CurrentSince Sep 22, 2025 Accepting new patients

Locations

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

5900 Balcones Dr
Austin, TX 78731
Phone (281) 391-1188

4639 Corona Dr
Ste 34
Corpus Christi, TX 78411
Phone (361) 442-4024

5959 S Staples St
Ste 200
Corpus Christi, TX 78413
Phone (361) 442-4024

1515 Pappas St
Laredo, TX 78041
Phone (956) 523-3642

6402 N Bartlett Ave
Ste 7
Laredo, TX 78041
Phone (956) 955-6352

Organizations & group practices 7

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1124653563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61226",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661226",
            "telephone_number": "361-442-4024",
            "fax_number": "361-853-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4639 CORONA DR STE 34",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115430",
            "telephone_number": "361-442-4024",
            "fax_number": "361-806-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOVAR",
        "first_name": "CRISTIAN",
        "middle_name": "OBED",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-05",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.