Active NPI
Cecilia Burgos-Gavaldon, LPC
- Counselor
- El Paso, TX
National Provider Identifier
1215031356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 15330
- Practice address
- 468 San Blas
El Paso, TX 79912 - Phone
- (915) 525-9246
- Fax
- (877) 587-9452
- NPI assigned
- Sep 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 15330 | TX | Primary |
Addresses
Primary practice location
468 San Blas
El Paso, TX 79912
Mailing address
468 San Blas
El Paso, TX 79912
Phone (915) 525-9246
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4069LC | Other | TX | BCBS |
| 027910101 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
468 San Blas Dr
El Paso, TX 79912-4319
Phone (915) 525-9246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ceci Burgos Counseling, Inc. | Current | 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.
-
- Mental Health Counselor
- El Paso, TX
- NPI 1588876213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1215031356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "468 SAN BLAS",
"city": "EL PASO",
"state": "TX",
"postal_code": "79912",
"telephone_number": "915-525-9246",
"fax_number": "877-587-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 SAN BLAS",
"city": "EL PASO",
"state": "TX",
"postal_code": "79912",
"telephone_number": "915-525-9246",
"fax_number": "877-587-9452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGOS-GAVALDON",
"first_name": "CECILIA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "15330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4069LC",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027910101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}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 Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.