Individual provider Active NPI

Deepu Varughese George, PHD

  • Marriage & Family Therapist
  • Edinburg, TX
National Provider Identifier
1174949267
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202397 Issued in TX
Practice address
3804 S Jackson Rd Ste 2
Edinburg, TX 78539-6683
Phone
(956) 296-3021
Fax
(956) 296-3020
NPI assigned
Mar 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 9070A NC
Marriage & Family Therapist 106H00000X 202397 TX Primary

Addresses

Primary practice location

3804 S Jackson Rd Ste 2
Edinburg, TX 78539-6683

Mailing address

2821 Michael Angelo
Suite 400
Edinburg, TX 78539-1404
Phone (956) 362-6520

Other practice location 1

2810 W Expressway 83
Mercedes, TX 78570-9704
Phone (956) 296-1831

Other identifiers 2

IdentifierTypeStateIssuer
9070AOtherNCLICENSED MARRIAGE AND FAMILY THERAPY ASSOCIATE
202397OtherTXTX STATE BOARD OF EXAMINERS OF MARRIAGE AND FAMILY THERAPISTS - LMFT-A

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
I20231227002696 TX Practitioner - Marriage and Family Therapist 6608226097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3804 S Jackson Rd
2 Ut Health RGV Primary Care (Jackson
Edinburg, TX 78539-6682
Phone (956) 296-3021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
9070ANCMDMarriage & Family Therapist
202397TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Rio Grande Valley CurrentSince Jan 1, 2024 Accepting new patients
The University of Texas Rio Grande Valley Current Accepting new patients
The University of Texas Rio Grande Valley CurrentSince Jan 1, 2024 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

1201 W University Dr
Edinburg, TX 78539
Phone (956) 655-7049

3804 S Jackson Rd
Ste 2
Edinburg, TX 78539
Phone (956) 296-1960

2821 W Michaelangelo Dr
Ste 400
Edinburg, TX 78539
Phone (956) 362-3590

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

Interoperability endpoints

  • Direct secure messaging: d.george@dhr.cernerdirect.com
  • Direct secure messaging: dvarughesegeorge68561@direct.utmb.edu

Organizations & group practices 4

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": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1174949267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 MICHAEL ANGELO",
            "address_2": "SUITE 400",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391404",
            "telephone_number": "956-362-6520",
            "fax_number": "956-362-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 S JACKSON RD STE 2",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396683",
            "telephone_number": "956-296-3021",
            "fax_number": "956-296-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 W Expressway 83",
            "address_purpose": "LOCATION",
            "city": "Mercedes",
            "state": "TX",
            "postal_code": "785709704",
            "country_code": "US",
            "telephone_number": "956-296-1831",
            "fax_number": "956-296-2970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARUGHESE GEORGE",
        "first_name": "DEEPU",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "9070A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPY ASSOCIATE",
            "identifier": "9070A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE BOARD OF EXAMINERS OF MARRIAGE AND FAMILY THERAPISTS - LMFT-A",
            "identifier": "202397",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.