Individual provider Active NPI

Venessa Zepeda, M.ED., CSC, LPC

  • Professional Counselor
  • Los Fresnos, TX
National Provider Identifier
1538583513
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69432 Issued in TX
Practice address
200 E 6TH St
Los Fresnos, TX 78566-3311
Phone
(956) 346-0051
NPI assigned
Feb 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
School Counselor 101YS0200X TX
Professional Counselor 101YP2500X 69432 TX Primary

Addresses

Primary practice location

200 E 6TH St
Los Fresnos, TX 78566-3311

Mailing address

5650 Cedar Trail Dr
Brownsville, TX 78526-1221
Phone (956) 346-0051

Other practice location 1

1273 E Alton Gloor Blvd
Suite D
Brownsville, TX 78526-3918
Phone (956) 346-0051

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
I20240611000772 TX Practitioner - Mental Health Counselor 1759823396 Practice locations: Los Fresnos, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
69432TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1538583513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 CEDAR TRAIL DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261221",
            "telephone_number": "956-346-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 6TH ST",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663311",
            "telephone_number": "956-346-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1273 E Alton Gloor Blvd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785263918",
            "country_code": "US",
            "telephone_number": "956-346-0051",
            "fax_number": "956-518-7348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEPEDA",
        "first_name": "VENESSA",
        "credential": "M.ED., CSC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Fresnos, TX

Sources for this page

Verify at the official NPI Registry.