Individual provider Active NPI

Melinda Ontiveros Garcia, LCSW

  • Clinical Social Worker
  • Mont Belvieu, TX
National Provider Identifier
1508523960
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
42354 Issued in TX
Practice address
9205 Eagle Dr Ste 300-122
Mont Belvieu, TX 77523-5618
Phone
(832) 764-4673
NPI assigned
Nov 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 42354 TX Primary

Addresses

Primary practice location

9205 Eagle Dr Ste 300-122
Mont Belvieu, TX 77523-5618

Mailing address

9205 Eagle Dr Ste 300-122
Mont Belvieu, TX 77523-5618
Phone (832) 764-4673

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
I20211216000252 TX Practitioner - Clinical Social Worker 5496146060 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42354TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Che Behavioral Health Counseling Services of Texas, P.a. Clinical CurrentSince Dec 1, 2021 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 2, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 23, 2024 Accepting new patients

Locations

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2000 E Lamar Blvd
Ste 600
Arlington, TX 76006
Phone (214) 519-9473

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 3

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": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1508523960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 EAGLE DR STE 300-122",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775235618",
            "telephone_number": "832-764-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 EAGLE DR STE 300-122",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775235618",
            "telephone_number": "832-764-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MELINDA",
        "middle_name": "ONTIVEROS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "42354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mont Belvieu, TX

Sources for this page

Verify at the official NPI Registry.