Elsa Paulina Zacapa-Reyes, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

03076 Issued in KS

Practice address

506 Avenue L
Dodge City, KS 67801-5319

Phone

(620) 227-8566

NPI assigned

Nov 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healing Bliss Counseling LLC

  • Mental Health Counselor
  • Dodge City, KS
  • NPI 1174274674
  Medicare reassignment NPD Authorized official
• Compass Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Garden City, KS
  • NPI 1922058510
  NPD
• Compass Health Connection

  • Community/Behavioral Health Agency
  • Garden City, KS
  • NPI 1831569128
  NPD (past)

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1346614872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678460477",
            "telephone_number": "620-275-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 AVENUE L",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678015319",
            "telephone_number": "620-227-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACAPA-REYES",
        "first_name": "ELSA",
        "middle_name": "PAULINA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2790",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "03076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L Wolf, OD PA
• Womens Health Care
• Emmanuel Jun Qian Woo
• Wes L Young, PAC
• Youthville

• Professional Counselor in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.