Individual provider Active NPI

Dolores Ann Gutierrez, LMHC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1568774081
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71216 Issued in TX
Practice address
8888 Dyer St
Suite 419
El Paso, TX 79904-2867
Phone
(915) 780-8103
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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 71216 TX Primary

Addresses

Primary practice location

8888 Dyer St
Suite 419
El Paso, TX 79904-2867

Mailing address

2924 Devils Tower Cir
El Paso, TX 79904-2405
Phone (915) 780-8103

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
I20240825000025 TX Practitioner - Mental Health Counselor 3173062981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5320 Will Ruth Ave
El Paso, TX 79924-5430
Phone (915) 755-5888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71216TXMDMedical license number

Practice roles

OrganizationSpecialtyStatusNew patients
The Lending Ear Counseling Center CurrentSince Jun 12, 2024 Accepting new patients

Locations

5320 Will Ruth Ave
El Paso, TX 79924
Phone (915) 549-3968

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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1568774081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 DEVILS TOWER CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799042405",
            "telephone_number": "915-780-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8888 DYER ST",
            "address_2": "SUITE 419",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799042867",
            "telephone_number": "915-780-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "DOLORES",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.