Individual provider Active NPI

Iyali Lara Garcia, LPC

  • Mental Health Counselor
  • El Paso, TX
National Provider Identifier
1447648969
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
74910 Issued in TX
Practice address
508 Satelite Dr
El Paso, TX 79912-3308
Phone
(915) 261-6775
Fax
(915) 288-2699
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 74910 TX Primary

Addresses

Primary practice location

508 Satelite Dr
El Paso, TX 79912-3308

Mailing address

PO Box 920135
El Paso, TX 79902-0004
Phone (915) 259-5514

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
I20250328000174 TX Practitioner - Mental Health Counselor 4981127164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74910TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Grief Center of El Paso Mental Health CurrentSince Jan 22, 2025 Accepting new patients

Locations

11625 Pellicano Dr
#B
El Paso, TX 79936
Phone (915) 532-6004

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": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1447648969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920135",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799020004",
            "telephone_number": "915-259-5514",
            "fax_number": "915-288-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 SATELITE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123308",
            "telephone_number": "915-261-6775",
            "fax_number": "915-288-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA GARCIA",
        "first_name": "IYALI",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.