Individual provider Active NPI

Carlos Angueira, LPC

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1144906769
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88042 Issued in TX
Practice address
4800 Overton PLZ Ste 440
Ft Worth, TX 76109-4435
Phone
(800) 299-5161
NPI assigned
Jun 27, 2023
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 88042 TX Primary

Addresses

Primary practice location

4800 Overton PLZ Ste 440
Ft Worth, TX 76109-4435

Mailing address

15328 Daystar Pass
San Antonio, TX 78253-6756
Phone (210) 978-2744

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
I20241002002343 TX Practitioner - Mental Health Counselor 4688105554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88042TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Single Specialty CurrentSince Sep 13, 2024 Accepting new patients
Lumvia LLC Professional CurrentSince May 1, 2025 Accepting new patients
Inmindout Emotional Wellness Center, LLC Professional Past Accepting new patients

Locations

1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050

14743 Old Bandera Rd
Unit 14101
Helotes, TX 78023
Phone (210) 858-6127

4903 82nd St
Ste 60
Lubbock, TX 79424
Phone (806) 507-6934

21727 W Interstate 10
Ste 106
San Antonio, TX 78257
Phone (210) 535-9810

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, 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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1144906769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15328 DAYSTAR PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536756",
            "telephone_number": "210-978-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 OVERTON PLZ STE 440",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761094435",
            "telephone_number": "800-299-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGUEIRA",
        "first_name": "CARLOS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.