Organization Active NPI

El Paso Counseling Center of Expressive Arts PC

Doing business as Counseling Center of Expressive Arts

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1205978319
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EL PASO COUNSELING CENTER OF EXPRESSIVE ARTS PC
Doing business as
Counseling Center of Expressive Arts
Practice address
1600 Medical Center Dr
Suite B1
El Paso, TX 79902-5002
Phone
(915) 845-3122
Fax
(915) 845-4165
NPI assigned
Feb 13, 2007
Last updated
Mar 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Leah Miller, LPC-S, LMFT, RPT-S
Title
Owner
Phone
(915) 845-3122

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Social Worker 104100000X NU
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

1600 Medical Center Dr
Suite B1
El Paso, TX 79902-5002

Mailing address

1600 Medical Center Dr
Suite B1
El Paso, TX 79902-5002
Phone (915) 845-3122

Other identifiers 1

IdentifierTypeStateIssuer
158288402MedicaidTX

Other names 1

  • Counseling Center of Expressive Arts Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170302002386 TX Part B Supplier - Clinic/Group Practice 2466736863 Receives reassigned benefits from 18 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1205978319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "address_2": "SUITE B1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025002",
            "telephone_number": "915-845-3122",
            "fax_number": "915-845-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "address_2": "SUITE B1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025002",
            "telephone_number": "915-845-3122",
            "fax_number": "915-845-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO COUNSELING CENTER OF EXPRESSIVE ARTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-845-3122",
        "authorized_official_credential": "LPC-S, LMFT, RPT-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158288402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Center of Expressive Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.