Active NPI
Carlos Adiax Hurtado-Lopez
- Marriage & Family Therapist
- Bedford, TX
National Provider Identifier
1174775787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1901 Central Dr Ste 160
Bedford, TX 76021-5823 - Phone
- (682) 289-0546
- NPI assigned
- Oct 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
1901 Central Dr Ste 160
Bedford, TX 76021-5823
Mailing address
1901 Central Dr Ste 160
Bedford, TX 76021-5823
Phone (682) 289-0546
Other names 1
- Carlos Adiax Hurtado
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
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 Central Dr
Suite 160
Bedford, TX 76021-5823
Phone (682) 289-0546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Clinical Psychologist
- Bedford, TX
- NPI 1003583972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1174775787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 CENTRAL DR STE 160",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760215823",
"telephone_number": "682-289-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 CENTRAL DR STE 160",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760215823",
"telephone_number": "682-289-0546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURTADO-LOPEZ",
"first_name": "CARLOS",
"middle_name": "ADIAX",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-14",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLOS",
"last_name": "HURTADO",
"middle_name": "ADIAX",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.