Carolina Torres Medrano

Individual provider Active NPI Professional Counselor · Lyford, TX

NPI 1366249286 · NPPES record last updated Mar 12, 2025

Key facts

NPI
1366249286
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
88648 (TX)
Practice address
12935 W Glen Lofton
Lyford, TX 78569-7856
Phone
(956) 966-9898
NPI assigned
Feb 27, 2025
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
88648TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Innerheart Counseling and Consulting, LLC Mental Health Current
since Mar 11, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88648 TX
Professional Counselor 101YP2500X 88648 TX Yes

Addresses

Primary practice location

12935 W Glen Lofton
Lyford, TX 78569-7856

Mailing address

12935 W Glen Lofton
Lyford, TX 78569
Phone (956) 966-9898

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 12, 2025.

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1366249286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12935 W GLEN LOFTON",
            "city": "LYFORD",
            "state": "TX",
            "postal_code": "78569",
            "telephone_number": "956-966-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12935 W GLEN LOFTON",
            "city": "LYFORD",
            "state": "TX",
            "postal_code": "785697856",
            "telephone_number": "956-966-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "CAROLINA",
        "middle_name": "TORRES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "88648",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyford, TX

All providers in Lyford, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.