Hector Pena, LPC

Individual provider Active NPI Professional Counselor · Pharr, TX

NPI 1477092765 · NPPES record last updated Feb 20, 2017

Key facts

NPI
1477092765
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
73143 (TX)
Practice address
1002 W Sam Houston Blvd
Ste. 10
Pharr, TX 78577-5224
Phone
(956) 961-4871
Fax
(956) 961-4513
NPI assigned
Feb 20, 2017
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
73143TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Foundation Professional Past
since Sep 4, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 73143 TX Yes

Addresses

Primary practice location

1002 W Sam Houston Blvd
Ste. 10
Pharr, TX 78577-5224

Mailing address

PO Box 749
Pharr, TX 78577-5224
Phone (956) 362-2171

Other providers in Pharr, TX

All providers in Pharr, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.