Individual provider Active NPI

Rosaicela Escobedo, LPC

  • Professional Counselor
  • Port Arthur, TX
National Provider Identifier
1407912165
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16600 Issued in TX
Practice address
7980 Anchor Dr Ste 500
Port Arthur, TX 77642-8285
Phone
(409) 727-6400
Fax
(409) 727-6403
NPI assigned
Dec 28, 2006
Last updated
Jul 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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 16600 TX Primary

Addresses

Primary practice location

7980 Anchor Dr Ste 500
Port Arthur, TX 77642-8285

Mailing address

7980 Anchor Dr Ste 500
Port Arthur, TX 77642-8285
Phone (409) 727-6400

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
I20240314004198 TX Practitioner - Mental Health Counselor 5395181176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16600TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C CurrentSince Mar 1, 2024 Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients
Samaritan Counseling Center of Southeast Texas PastSince Oct 31, 2022 Accepting new patients

Locations

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1407912165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 ANCHOR DR STE 500",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428285",
            "telephone_number": "409-727-6400",
            "fax_number": "409-727-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 ANCHOR DR STE 500",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428285",
            "telephone_number": "409-727-6400",
            "fax_number": "409-727-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "ROSAICELA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.