Individual provider Active NPI

Celina Utley, LPC

  • Counseling Psychologist
  • Falfurrias, TX
National Provider Identifier
1396360970
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
74811 Issued in TX
Practice address
101 W Potts St
Falfurrias, TX 78355-4906
Phone
(361) 325-9776
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 74811 TX
Counseling Psychologist 103TC1900X 74811 TX Primary

Addresses

Primary practice location

101 W Potts St
Falfurrias, TX 78355-4906

Mailing address

200 Marriott Dr
Portland, TX 78374-2213
Phone (361) 777-3991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240209002882 TX Practitioner - Mental Health Counselor 8820431448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74811TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Plains Community MHMR Center Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Coastal Plains Community MHMR Center Current Accepting new patients
Coastal Plains Community MHMR Center CurrentSince Jan 1, 2024 Accepting new patients
Coastal Plains Community MHMR Center Past Accepting new patients

Locations

101 W Potts St
Falfurrias, TX 78355
Phone (361) 325-3673

200 Marriott Dr
Portland, TX 78374
Phone (361) 777-3991

Organizations & group practices 4

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": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1396360970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MARRIOTT DR",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742213",
            "telephone_number": "361-777-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W POTTS ST",
            "city": "FALFURRIAS",
            "state": "TX",
            "postal_code": "783554906",
            "telephone_number": "361-325-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTLEY",
        "first_name": "CELINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74811",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "74811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falfurrias, TX

Sources for this page

Verify at the official NPI Registry.