Individual provider Active NPI

Carlos Alfredo Garza-Medrano

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1396578555
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90013 Issued in TX
Practice address
9209 Elam Rd
Dallas, TX 75217-4179
Phone
(469) 780-2211
NPI assigned
Aug 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 90013 TX
Professional Counselor 101YP2500X 90013 TX Primary

Addresses

Primary practice location

9209 Elam Rd
Dallas, TX 75217-4179

Mailing address

2617 Scotswood Dr
Garland, TX 75041-2554
Phone (469) 579-9395

Other practice location 1

1881 Sylvan Ave Ste 200
Dallas, TX 75208-2031
Phone (214) 331-0107

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
I20240917000436 TX Practitioner - Mental Health Counselor 7214478304 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Jul 5, 2024 Accepting new patients

Locations

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

9209 Elam Rd
Dallas, TX 75217
Phone (214) 309-0100

1881 Sylvan Ave
Ste 200
Dallas, TX 75208
Phone (214) 331-0107

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": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1396578555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 SCOTSWOOD DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412554",
            "telephone_number": "469-579-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 ELAM RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752174179",
            "telephone_number": "469-780-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1881 Sylvan Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752082031",
            "country_code": "US",
            "telephone_number": "214-331-0107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA-MEDRANO",
        "first_name": "CARLOS",
        "middle_name": "ALFREDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-22",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "90013",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.