Roxanne A. Trevino, LICENSE PROFESSIONAL

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

62720 Issued in TX

Practice address

5415 N McColl Rd Ste 103
McAllen, TX 78504-4664

Phone

(956) 250-2373

Fax

(956) 524-5642

NPI assigned

Oct 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mind Body Connections LLC

  • Mental Health Counselor
  • McAllen, TX
  • NPI 1124685037
  NPD (past) Authorized official

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548412067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 N MCCOLL RD STE 103",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044664",
            "telephone_number": "956-250-2373",
            "fax_number": "956-524-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 N MCCOLL RD STE 103",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044664",
            "telephone_number": "956-250-2373",
            "fax_number": "956-524-5642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 E. Esperanza Ave. Suite 14",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "78501",
            "country_code": "US",
            "telephone_number": "956-250-2373",
            "fax_number": "956-524-5642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "ROXANNE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LICENSE PROFESSIONAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "62720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197250701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Trevino
• Miguel Trevino, PTA
• Monica Vanessa Trevino, MS, LPC
• Paul Trevino, O.P.A.-C
• Rebecca Dee Trevino, DDS
• Sam Trevino, RPH
• Teodoro Trevino
• Vivian Marie Trevino
• Ysela Beatriz Trevino, PHARM.D.
• Tri City Therapeutics, LLC (Reliant Therapeutics)

• Mental Health Counselor in McAllen, TX
• Providers in McAllen, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.