Individual provider Active NPI

Dulce Anais Carreon, M.A. , LPC

  • Professional Counselor
  • Edinburg, TX
National Provider Identifier
1154700037
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71014 Issued in TX
Practice address
5211 S McColl Rd Ste B
Edinburg, TX 78539-7835
Phone
(956) 627-4874
Fax
(956) 348-0852
NPI assigned
May 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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 71014 TX Primary

Addresses

Primary practice location

5211 S McColl Rd Ste B
Edinburg, TX 78539-7835

Mailing address

PO Box 537
Pharr, TX 78577-1609
Phone (956) 627-4874

Other identifiers 1

IdentifierTypeStateIssuer
350182702MedicaidTX

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
71014TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Starr Psychiatric Services PLLC CurrentSince Feb 6, 2022 Accepting new patients

Locations

5211 S McColl Rd
Ste B
Edinburg, TX 78539
Phone (956) 270-0085

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1154700037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771609",
            "telephone_number": "956-627-4874",
            "fax_number": "956-348-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 S MCCOLL RD STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397835",
            "telephone_number": "956-627-4874",
            "fax_number": "956-348-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREON",
        "first_name": "DULCE",
        "middle_name": "ANAIS",
        "name_prefix": "Miss",
        "credential": "M.A. , LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-25",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350182702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.