Individual provider Active NPI

Maria Perez

  • Professional Counselor
  • Edinburg, TX
National Provider Identifier
1174945455
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67145 Issued in TX
Practice address
3118 Center Point Dr
Suite 3
Edinburg, TX 78539-4804
Phone
(956) 687-8000
Fax
(956) 687-8009
NPI assigned
Jan 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 67145 TX Primary

Addresses

Primary practice location

3118 Center Point Dr
Suite 3
Edinburg, TX 78539-4804

Mailing address

3204 Barbara LN
Edinburg, TX 78542-0517
Phone (956) 687-8000

Other identifiers 1

IdentifierTypeStateIssuer
67145OtherTXTEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS

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
I20241211001055 TX Practitioner - Mental Health Counselor 8022544279 Practice locations: Edinburg, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5119 S McColl Rd
Edinburg, TX 78539-8278
Phone (956) 687-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67145TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling Services,PLLC Professional Past Accepting new patients

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": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1174945455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 BARBARA LN",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785420517",
            "telephone_number": "956-687-8000",
            "fax_number": "956-687-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 CENTER POINT DR",
            "address_2": "SUITE 3",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394804",
            "telephone_number": "956-687-8000",
            "fax_number": "956-687-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS",
            "identifier": "67145",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.