Individual provider Active NPI

Patricia Michele Garza, LPC

  • Professional Counselor
  • Kerrville, TX
National Provider Identifier
1417379090
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69422 Issued in TX
Practice address
1216 Broadway
Kerrville, TX 78028-3517
Phone
(830) 890-5300
NPI assigned
Jan 15, 2014
Last updated
Nov 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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 69422 TX Primary

Addresses

Primary practice location

1216 Broadway
Kerrville, TX 78028-3517

Mailing address

1216 Broadway
Kerrville, TX 78028-3517
Phone (830) 890-5300

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
I20240405001120 TX Practitioner - Mental Health Counselor 8729450820 Practice locations: Kerrville, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1216 Broadway
Kerrville, TX 78028-3517
Phone (830) 890-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69422TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Counseling and Wellness PLLC Professional CurrentSince Jan 1, 2020 Accepting new patients

Locations

140 Industrial Loop
Ste 100
Fredericksburg, TX 78624
Phone (830) 890-5300

1216 Broadway
Kerrville, TX 78028
Phone (830) 890-5300

Interoperability endpoints

  • Direct secure messaging: patricia.garza.1@10964.direct.athenahealth.com
  • Direct secure messaging: patricia.garza.1@24849.direct.athenahealth.com

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, 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": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1417379090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 BROADWAY",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283517",
            "telephone_number": "830-890-5300",
            "fax_number": "830-890-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 BROADWAY",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283517",
            "telephone_number": "830-890-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "PATRICIA",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.