Active NPI
Debra Stonewall, LPC - ASSOCIATES
- Mental Health Counselor
- El Paso, TX
National Provider Identifier
1386304277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 86907
- Practice address
- 6090 Surety Dr Ste 107
El Paso, TX 79905-2060 - Phone
- (915) 301-0174
- Fax
- (877) 588-3445
- NPI assigned
- Dec 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 86907 | TX | Primary |
Addresses
Primary practice location
6090 Surety Dr Ste 107
El Paso, TX 79905-2060
Mailing address
816 Phil Hansen Dr
Canutillo, TX 79835-6488
Phone (773) 396-9307
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86907 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Innovations, LLC | Current | Accepting new patients |
Locations
6090 Surety Dr
Ste 107
El Paso, TX 79905
Phone (915) 301-0174
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.
-
- Professional Counselor
- El Paso, TX
- NPI 1710472816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1386304277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 PHIL HANSEN DR",
"city": "CANUTILLO",
"state": "TX",
"postal_code": "798356488",
"telephone_number": "773-396-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6090 SURETY DR STE 107",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052060",
"telephone_number": "915-301-0174",
"fax_number": "877-588-3445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONEWALL",
"first_name": "DEBRA",
"credential": "LPC - ASSOCIATES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "86907",
"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 Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.