Individual provider Active NPI

Corina Cantu, M. ED, LPC

  • Professional Counselor
  • Weslaco, TX
National Provider Identifier
1235638420
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70854 Issued in TX
Practice address
522 S Texas Blvd Ste 108
Weslaco, TX 78596-6287
Phone
(956) 261-5311
Fax
(956) 999-8456
NPI assigned
Feb 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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 70854 TX Primary

Addresses

Primary practice location

522 S Texas Blvd Ste 108
Weslaco, TX 78596-6287

Mailing address

2115 Shadowbrook Cir
Harlingen, TX 78550-3923
Phone (956) 778-1332

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
I20240606000555 TX Practitioner - Mental Health Counselor 4688116627 Practice locations: Weslaco, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Healing Centre LLC Professional CurrentSince Jun 16, 2024 Accepting new patients
Healing Centre CurrentSince Jun 16, 2024 Accepting new patients

Locations

522 S Texas Blvd
Ste 108
Weslaco, TX 78596
Phone (956) 261-5311

Organizations & group practices 2

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": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1235638420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 SHADOWBROOK CIR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503923",
            "telephone_number": "956-778-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S TEXAS BLVD STE 108",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966287",
            "telephone_number": "956-261-5311",
            "fax_number": "956-999-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "CORINA",
        "credential": "M. ED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.