Individual provider Active NPI

Guadalupe Fuentes Morales, LPC

  • Mental Health Counselor
  • Big Spring, TX
National Provider Identifier
1467274647
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
91378 Issued in TX
Practice address
1501 W 11TH PL Ste 104
Big Spring, TX 79720-4122
Phone
(432) 263-0027
Fax
(432) 268-9897
NPI assigned
Oct 29, 2024
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 91378 TX Primary

Addresses

Primary practice location

1501 W 11TH PL Ste 104
Big Spring, TX 79720-4122

Mailing address

409 Runnels St
Big Spring, TX 79720-2529
Phone (432) 263-0027

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
I20241223000775 TX Practitioner - Mental Health Counselor 9032646526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Texas Centers for MHMRGroup PAC ID 3971587502, 14 clinicians

Practice addresses (Care Compare)

1501 W 11TH PL
Suite 104
Big Spring, TX 79720-4122
Phone (432) 263-0027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
91378TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Centers for MHMR Multi-Specialty CurrentSince Sep 13, 2024 Accepting new patients

Locations

1501 W 11th Pl
Ste 104
Big Spring, TX 79720
Phone (432) 263-0027

409 Runnels St
Big Spring, TX 79720
Phone (432) 264-2650

700 W Daggett St
Ste 4
Pecos, TX 79772
Phone (432) 447-2628

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": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1467274647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 RUNNELS ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202529",
            "telephone_number": "432-263-0027",
            "fax_number": "432-268-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W 11TH PL STE 104",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204122",
            "telephone_number": "432-263-0027",
            "fax_number": "432-268-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "GUADALUPE",
        "middle_name": "FUENTES",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "91378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.