Individual provider Active NPI

Maria Margarita Baca-Gomez, LPC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1295920189
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18407 Issued in TX
Practice address
1801 Wyoming Ave
Suite 203
El Paso, TX 79902-5748
Phone
(915) 525-4361
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 18407 TX Primary

Addresses

Primary practice location

1801 Wyoming Ave
Suite 203
El Paso, TX 79902-5748

Mailing address

1801 Wyoming Ave
Suite 203
El Paso, TX 79902-5748
Phone (915) 525-4361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18407TXMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1295920189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WYOMING AVE",
            "address_2": "SUITE 203",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025748",
            "telephone_number": "915-525-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WYOMING AVE",
            "address_2": "SUITE 203",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025748",
            "telephone_number": "915-525-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA-GOMEZ",
        "first_name": "MARIA",
        "middle_name": "MARGARITA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.