Individual provider Active NPI

Mariajose Recinos, MS,LPC.

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1184929879
Registry record updated May 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65134 Issued in TX
Practice address
6510 Abrams Rd Ste 402
Dallas, TX 75231-7214
Phone
(972) 807-2301
NPI assigned
Jan 11, 2011
Last updated
May 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2015

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 65134 TX Primary

Addresses

Primary practice location

6510 Abrams Rd Ste 402
Dallas, TX 75231-7214

Mailing address

9132 Webb Kay Dr
Dallas, TX 75243-6233
Phone (214) 288-3499

Other identifiers 1

IdentifierTypeStateIssuer
65134MedicaidTX

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
65134TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431734400000",
    "number": "1184929879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9132 WEBB KAY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436233",
            "telephone_number": "214-288-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 ABRAMS RD STE 402",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317214",
            "telephone_number": "972-807-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECINOS",
        "first_name": "MARIAJOSE",
        "name_prefix": "Mrs.",
        "credential": "MS,LPC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2015-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65134",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2015; 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.