Active NPI
Lina Lara, M.S, L.P.C
- Professional Counselor
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 70187
- Practice address
- 2882 Holly Rd
Corpus Christi, TX 78415-4106 - Phone
- (361) 814-2001
- NPI assigned
- Jun 29, 2015
- 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 | 70187 | TX | Primary |
Addresses
Primary practice location
2882 Holly Rd
Corpus Christi, TX 78415-4106
Mailing address
922 Shiels Dr
Corpus Christi, TX 78412-3550
Phone (361) 902-6627
Other practice location 1
922 Shiels Dr
Corpus Christi, TX 78412-3550
Phone (361) 902-6627
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240327003525 | TX | Practitioner - Mental Health Counselor | 8921445826 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Bend Wellness Foundation Inc
Practice addresses (Care Compare)
2882 Holly Rd
Corpus Christi, TX 78415-4106
Phone (361) 814-2001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Bend Wellness Foundation Inc. | Current | Accepting new patients | |
| Coastal Bend Wellness Foundation Inc | Current | Accepting new patients |
Locations
5633 S Staples St
Ste 700
Corpus Christi, TX 78411
Phone (361) 814-2001
2882 Holly Rd
Corpus Christi, TX 78415
Phone (361) 814-2001
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.
-
- Federally Qualified Health Center (FQHC)
- Corpus Christi, TX
- NPI 1144523671
TX
-
- Community/Retail Pharmacy
- Corpus Christi, TX
- NPI 1689131625
-
- Federally Qualified Health Center (FQHC)
- Kingsville, TX
- NPI 1346907607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1134501935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 SHIELS DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784123550",
"telephone_number": "361-902-6627",
"fax_number": "361-881-1484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2882 HOLLY RD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784154106",
"telephone_number": "361-814-2001"
}
],
"practiceLocations": [
{
"address_1": "922 Shiels Dr",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784123550",
"country_code": "US",
"telephone_number": "361-902-6627",
"fax_number": "361-881-1484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARA",
"first_name": "LINA",
"credential": "M.S, L.P.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.