Roberto Guerrero III, LPC
Individual provider Active NPI Mental Health Counselor · Wills Point, TX
NPI 1164069589 · NPPES record last updated Jan 27, 2023
Key facts
- NPI
- 1164069589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 79242 (TX)
- Practice address
- 1647 VZ County Road 3908
Wills Point, TX 75169-8125 - Phone
- (972) 658-8117
- NPI assigned
- Dec 4, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Assurasource LTD
Practice addresses (Care Compare)
400 N Allen Dr
Suite 204
Allen, TX 75013-2568
Phone (972) 233-1010
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109004685 | TX | Practitioner - Mental Health Counselor | 1951752484 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79242 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current |
Accepting new patients |
| Assurasource LTD | Professional | Current |
Accepting new patients |
| Dallas Independent School District | Mental Health | Past |
Accepting new patients |
Locations
400 N Allen Dr
Ste 204
Allen, TX 75013
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 79242 | TX | |
| Mental Health Counselor | 101YM0800X | 79242 | TX | Yes |
Addresses
Primary practice location
1647 VZ County Road 3908
Wills Point, TX 75169-8125
Mailing address
1647 VZ County Road 3908
Wills Point, TX 75169-8125
Phone (972) 658-8117
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Edgewood | ||
| Direct Messaging Address | info@valortherapy.com | Direct |
Other providers in Wills Point, TX
- Kathryn Echols
- Family First Home Health Solutions, LLC
- Firoz Medical Group, PA.
- Mustafa Firoz
- Golden Years Homecare Specialist Incorporated
- Jaime Gaile Hall-Malouf
- Happy Haven
- Healthy Seniors at Home House Calls, PLLC
- Cary Don Heard
- Debbie Hill
All providers in Wills Point, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.