Active NPI
Martina Tijerina Prado, LBSW, M.ED., LPC
- Professional Counselor
- Edinburg, TX
National Provider Identifier
1407974447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61574
- Practice address
- 5510 Raphael Drive
Edinburg, TX 78539 - Phone
- (956) 362-2890
- Fax
- (956) 362-2488
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61574 | TX | Primary |
| Case Manager/Care Coordinator | 171M00000X | TX |
Addresses
Primary practice location
5510 Raphael Drive
Edinburg, TX 78539
Mailing address
5510 Raphael Drive
Edinburg, TX 78539
Phone (956) 362-2890
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138708602 | Medicaid | TX | |
| 138708610 | Medicaid | TX | |
| 138708611 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61574 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1407974447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 RAPHAEL DRIVE",
"city": "EDINBURG",
"state": "TX",
"postal_code": "78539",
"telephone_number": "956-362-2890",
"fax_number": "956-362-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 RAPHAEL DRIVE",
"city": "EDINBURG",
"state": "TX",
"postal_code": "78539",
"telephone_number": "956-362-2890",
"fax_number": "956-362-2488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADO",
"first_name": "MARTINA",
"middle_name": "TIJERINA",
"name_prefix": "Ms.",
"credential": "LBSW, M.ED., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61574",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138708602",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138708610",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138708611",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.