Individual provider Active NPI

Scott Irwin Pelking, LPC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1609074699
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17215 Issued in TX
Practice address
300 Thunderbird Dr
Suite 12
El Paso, TX 79912-3829
Phone
(915) 845-3122
Fax
(915) 845-4165
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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 17215 TX Primary

Addresses

Primary practice location

300 Thunderbird Dr
Suite 12
El Paso, TX 79912-3829

Mailing address

300 Thunderbird Dr
Suite 12
El Paso, TX 79912-3829
Phone (915) 845-3122

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
I20240115000738 TX Practitioner - Mental Health Counselor 1254783301 Practice locations: El Paso, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

El Paso, TX 79912
Phone (915) 584-5105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Bilbao Counseling PLLC Professional Past 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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1609074699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 THUNDERBIRD DR",
            "address_2": "SUITE 12",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123829",
            "telephone_number": "915-845-3122",
            "fax_number": "915-845-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 THUNDERBIRD DR",
            "address_2": "SUITE 12",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123829",
            "telephone_number": "915-845-3122",
            "fax_number": "915-845-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELKING",
        "first_name": "SCOTT",
        "middle_name": "IRWIN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.