Individual provider Active NPI

Jose Guadalupe Medrano Rodriguez, PH.D, LPC.

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1275338113
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
98826 Issued in TX
Practice address
964 Haggerston St
El Paso, TX 79928-2237
Phone
(915) 301-6198
NPI assigned
Feb 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 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 98826 TX Primary

Addresses

Primary practice location

964 Haggerston St
El Paso, TX 79928-2237

Mailing address

964 Haggerston St
El Paso, TX 79928-2237
Phone (915) 301-6198

Other practice location 1

400 Talbot Ave
Canutillo, TX 79835-5409
Phone (915) 231-1945 ext. 3054

Other practice location 2

6090 Surety Dr Ste 400
El Paso, TX 79905-2060
Phone (915) 979-7402

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
I20251124001998 TX Practitioner - Mental Health Counselor 7618469040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1643 NW 136TH Ave BLDG H
Sunrise, FL 33323-3091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
98826TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Nov 10, 2025 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Nov 10, 2025 Accepting new patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Nov 10, 2025 Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

4195 Milam St
Beaumont, TX 77707
Phone (409) 842-4450

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Organizations & group practices 3

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": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1275338113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 HAGGERSTON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799282237",
            "telephone_number": "915-301-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 HAGGERSTON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799282237",
            "telephone_number": "915-301-6198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Talbot Ave",
            "address_purpose": "LOCATION",
            "city": "Canutillo",
            "state": "TX",
            "postal_code": "798355409",
            "country_code": "US",
            "telephone_number": "915-231-1945 x3054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6090 Surety Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052060",
            "country_code": "US",
            "telephone_number": "915-979-7402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDRANO RODRIGUEZ",
        "first_name": "JOSE GUADALUPE",
        "credential": "PH.D, LPC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "98826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.