Individual provider Active NPI

Gina Enriquez Mijares Flores, LPC

  • Professional Counselor
  • Mission, TX
National Provider Identifier
1396312435
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81924 Issued in TX
Practice address
423 E Griffin Pkwy
Mission, TX 78572-2915
Phone
(956) 600-7123
Fax
(956) 600-7101
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 81924 TX Primary

Addresses

Primary practice location

423 E Griffin Pkwy
Mission, TX 78572-2915

Mailing address

423 E Griffin Pkwy
Mission, TX 78572-2915
Phone (956) 600-7123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1396312435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722915",
            "telephone_number": "956-600-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722915",
            "telephone_number": "956-600-7123",
            "fax_number": "956-600-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ MIJARES FLORES",
        "first_name": "GINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-09-15",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.