Organization Active NPI

Centro de Consejeria Familiar, LLC

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1326689985
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CENTRO DE CONSEJERIA FAMILIAR, LLC
Practice address
5840 W Interstate 20 Ste 140
Arlington, TX 76017-2809
Phone
(817) 914-0266
Fax
(817) 755-0919
NPI assigned
Oct 4, 2019
Last updated
Oct 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Ms. Norma Elizabeth Garcia, LCSWNPI 1487934899
Title
Owner
Phone
(214) 930-2595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

5840 W Interstate 20 Ste 140
Arlington, TX 76017-2809

Mailing address

5840 W Interstate 20 Ste 140
Arlington, TX 76017-2809
Phone (817) 914-0266

Other practice location 1

1106 Santa Fe Trl Ste 3
Duncanville, TX 75137-3063
Phone (817) 914-0266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191221000486 TX Part B Supplier - Clinic/Group Practice 5597199703 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory
Tax ID family
Centro de Consejeria Familiar LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1102 Santa Fe Trl
Ste 4
Duncanville, TX 75137
Phone (817) 914-0266

1106 Santa Fe Trl
Ste 3
Duncanville, TX 75137
Phone (214) 695-9341

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1326689985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 W INTERSTATE 20 STE 140",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760172809",
            "telephone_number": "817-914-0266",
            "fax_number": "817-755-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 W INTERSTATE 20 STE 140",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760172809",
            "telephone_number": "817-914-0266",
            "fax_number": "817-755-0919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Santa Fe Trl Ste 3",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751373063",
            "country_code": "US",
            "telephone_number": "817-914-0266",
            "fax_number": "817-755-0919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRO DE CONSEJERIA FAMILIAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-930-2595",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.