Organization Active NPI

Frontera Therapy, PLLC

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1568977700
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64903 Issued in TX
Legal business name
FRONTERA THERAPY, PLLC
Practice address
154 N Festival Dr Ste B
El Paso, TX 79912-6265
Phone
(915) 216-2978
Fax
(915) 218-6121
NPI assigned
Dec 11, 2017
Last updated
Dec 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Authorized official

Name
Dr. Weylin Burlingame, PHD, MSW, LCSWNPI 1154836898
Title
Therapist/Owner
Phone
(915) 216-2978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 64903 TX Primary

Addresses

Primary practice location

154 N Festival Dr Ste B
El Paso, TX 79912-6265

Mailing address

7220 Rochester Dr
El Paso, TX 79912-1522
Phone (915) 216-2978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220524001930 TX Part B Supplier - Clinic/Group Practice 3072876846 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1568977700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 ROCHESTER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121522",
            "telephone_number": "915-216-2978",
            "fax_number": "915-218-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 N FESTIVAL DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126265",
            "telephone_number": "915-216-2978",
            "fax_number": "915-218-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTERA THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "BURLINGAME",
        "authorized_official_first_name": "WEYLIN",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "915-216-2978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.