Individual provider Active NPI

Marco Antonio Mora de la Fuente, LPC

  • Professional Counselor
  • Brownsville, TX
National Provider Identifier
1245028091
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88813 Issued in TX
Practice address
191 E Price Rd
Brownsville, TX 78521-3527
Phone
(956) 548-7400
NPI assigned
Apr 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 88813 TX Primary

Addresses

Primary practice location

191 E Price Rd
Brownsville, TX 78521-3527

Mailing address

1415 Mulberry LN
Brownsville, TX 78520-8263
Phone (956) 312-9978

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
I20250506002887 TX Practitioner - Mental Health Counselor 2668999368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brownsville Community Health Clinic CorporationGroup PAC ID 1658264304, 21 clinicians

Practice addresses (Care Compare)

2137 E 22ND St
Brownsville, TX 78521-2908
Phone (956) 548-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brownsville Community Health Clinic Corporation Current Accepting new patients
Brownsville Community Health Clinic Corporation CurrentSince May 1, 2025 Accepting new patients

Locations

191 E Price Rd
Brownsville, TX 78521
Phone (956) 548-7400

2137 E 22nd St
Brownsville, TX 78521
Phone (956) 548-7400

Interoperability endpoints

  • Direct secure messaging: marco.moradelafuente.d1.p1@direct.bchc.nextgenshare.com

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": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1245028091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MULBERRY LN",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208263",
            "telephone_number": "956-312-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213527",
            "telephone_number": "956-548-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA DE LA FUENTE",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.