Individual provider Active NPI

Melanie Prieto Trevino, LPC

  • Mental Health Counselor
  • Lytle, TX
National Provider Identifier
1336635374
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
75541 Issued in TX
Practice address
19971 FM 3175
Lytle, TX 78052-3481
Phone
(830) 266-5522
Fax
(844) 468-7602
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 75541 TX
Professional Counselor 101YP2500X 75541 TX
Mental Health Counselor 101YM0800X 75541 TX Primary

Addresses

Primary practice location

19971 FM 3175
Lytle, TX 78052-3481

Mailing address

PO Box 393
Floresville, TX 78114-0393
Phone (210) 392-5601

Other practice location 1

PO Box 393
Floresville, TX 78114-0393
Phone (830) 391-0299

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
I20240208003609 TX Practitioner - Mental Health Counselor 7315380144 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75541TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Camino Real Community MHMR Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

315 N 1st Ave
Crystal City, TX 78839
Phone (830) 374-5854

757 E Rio Grande St
Eagle Pass, TX 78852
Phone (830) 773-5696

1327 3rd St
Floresville, TX 78114
Phone (830) 216-2004

1005 B St
Floresville, TX 78114
Phone (830) 216-4326

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

322 W Main St
Ste 104
Kenedy, TX 78119
Phone (830) 583-9777

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

411 E Brazos St
Pearsall, TX 78061
Phone (830) 334-0075

Organizations & group practices 1

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1336635374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781140393",
            "telephone_number": "210-392-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19971 FM 3175",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780523481",
            "telephone_number": "830-266-5522",
            "fax_number": "844-468-7602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 393",
            "address_purpose": "LOCATION",
            "city": "Floresville",
            "state": "TX",
            "postal_code": "781140393",
            "country_code": "US",
            "telephone_number": "830-391-0299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "MELANIE",
        "middle_name": "PRIETO",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "75541",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75541",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lytle, TX

Sources for this page

Verify at the official NPI Registry.