Active NPI
Lilliana Garcia, MA
- Mental Health Counselor
- Racine, WI
National Provider Identifier
1194036657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 465-226
- Practice address
- 6939 Mariner Dr
Suite C
Racine, WI 53406-4090 - Phone
- (262) 886-8702
- NPI assigned
- Jun 29, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 465226 | WI | |
| Mental Health Counselor | 101YM0800X | 465-226 | WI | Primary |
Addresses
Primary practice location
6939 Mariner Dr
Suite C
Racine, WI 53406-4090
Mailing address
6939 Mariner Dr
Suite C
Racine, WI 53406-4090
Phone (262) 886-8702
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 465-226 | WI | MD | Mental Health Counselor |
| 465226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child, Marriage & Family Therapy Clinic | 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.
-
- Professional Counselor
- Racine, WI
- NPI 1336264829
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1194036657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6939 MARINER DR",
"address_2": "SUITE C",
"city": "RACINE",
"state": "WI",
"postal_code": "534064090",
"telephone_number": "262-886-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6939 MARINER DR",
"address_2": "SUITE C",
"city": "RACINE",
"state": "WI",
"postal_code": "534064090",
"telephone_number": "262-886-8702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "LILLIANA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "465226",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "465-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.