Individual provider Active NPI

Deborah Cohen Woloski, LPC, PA-C

  • Physician Assistant
  • Brownsville, TX
National Provider Identifier
1285767186
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06231 Issued in TX
Practice address
800 E Alton Gloor Blvd
Brownsville, TX 78526-4248
Phone
(956) 518-7444
Fax
(956) 518-7353
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 17615 TX
Physician Assistant 363A00000X PA06231 TX Primary

Addresses

Primary practice location

800 E Alton Gloor Blvd
Brownsville, TX 78526-4248

Mailing address

404 Frio St
Mission, TX 78572-7455
Phone (956) 519-7493

Other identifiers 1

IdentifierTypeStateIssuer
151342601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090923000497 TX Practitioner - Physician Assistant 7214083807 Reassigns benefits to 4 organizations
I20221230001828 TX Practitioner - Clinical Psychologist 7214083807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Specialists of Texas PLLCGroup PAC ID 3072893726, 6 clinicians

Practice addresses (Care Compare)

418 E Tyler Ave
Suite C
Harlingen, TX 78550-9122
Phone (956) 467-4562

5440 Old Brownsville Rd
Corpus Christi, TX 78417-9765
Phone (361) 452-1151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
17615TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Normandy Urgent Care Center PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dwoloski@jose-e-igoa-md-p-a.direct.kno2fy.com

Organizations & group practices 5

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1285767186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 FRIO ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727455",
            "telephone_number": "956-519-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264248",
            "telephone_number": "956-518-7444",
            "fax_number": "956-518-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOSKI",
        "first_name": "DEBORAH",
        "middle_name": "COHEN",
        "name_prefix": "Mrs.",
        "credential": "LPC, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17615",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151342601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.