Individual provider Active NPI

Jorge Estrada, LPC-A

  • Mental Health Counselor
  • El Paso, TX
National Provider Identifier
1134950769
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88228 Issued in TX
Practice address
1748 Firehouse Dr
El Paso, TX 79936-4475
Phone
(915) 383-3210
NPI assigned
Aug 14, 2024
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88228 TX Primary

Addresses

Primary practice location

1748 Firehouse Dr
El Paso, TX 79936-4475

Mailing address

1748 Firehouse Dr
El Paso, TX 79936-4475
Phone (915) 383-3210

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
I20250312004123 TX Practitioner - Mental Health Counselor 0042731507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Associated Behavioral and Trauma Specialties, LLCGroup PAC ID 8820530330, 5 clinicians

Practice addresses (Care Compare)

9440 Viscount Blvd
Suite 200
El Paso, TX 79925-7054
Phone (915) 799-0747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88228TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Behavioral and Trauma Specialties, LLC Mental Health CurrentSince Mar 10, 2025 Accepting new patients

Locations

9440 Viscount Blvd
Ste 200
El Paso, TX 79925
Phone (915) 637-7627

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1134950769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 FIREHOUSE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364475",
            "telephone_number": "915-383-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 FIREHOUSE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364475",
            "telephone_number": "915-383-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "JORGE",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "88228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.