Individual provider Active NPI

Evelyn Gonzalez Bermea

  • Professional Counselor
  • Mission, TX
National Provider Identifier
1558116830
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90331 Issued in TX
Practice address
1709 E 30TH St
Mission, TX 78574-1997
Phone
(956) 537-6478
NPI assigned
Apr 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 90331 TX Primary

Addresses

Primary practice location

1709 E 30TH St
Mission, TX 78574-1997

Mailing address

1709 E 30TH St
Mission, TX 78574-1997
Phone (956) 537-6478

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
I20250214003436 TX Practitioner - Mental Health Counselor 5496285728 Practice locations: Mission, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Counseling Services PLLC CurrentSince Nov 24, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1558116830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 E 30TH ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785741997",
            "telephone_number": "956-537-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 E 30TH ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785741997",
            "telephone_number": "956-537-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMEA",
        "first_name": "EVELYN",
        "middle_name": "GONZALEZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.