Individual provider Active NPI

Debra Stonewall, LPC - ASSOCIATES

  • Mental Health Counselor
  • El Paso, TX
National Provider Identifier
1386304277
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
86907 Issued in TX
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

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
86907TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Innovations, LLC CurrentSince Dec 26, 2021 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.

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.

Verify at the official NPI Registry.