Melissa Elizabeth Aguayo, M.A. LPC, LCDC
Individual provider Active NPI Counselor · Laredo, TX
NPI 1255007381 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1255007381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 75697 (TX)
- Practice address
- 10108 FM 1472
Laredo, TX 78045-8607 - Phone
- (956) 753-5967
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75697 | TX | MD | Counselor |
| 12044 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12044 | TX | |
| Counselor | 101Y00000X | 75697 | TX | Yes |
Addresses
Primary practice location
10108 FM 1472
Laredo, TX 78045-8607
Mailing address
427 Yucatan Loop
Laredo, TX 78045-8026
Phone (956) 285-3601
Other practice location 1
427 Yucatan Loop
Laredo, TX 78045-8026
Phone (956) 285-3601
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.