Active NPI
Samuel Salazar
- Professional Counselor
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 78504
- Practice address
- 1225 E Cliff Dr Ste 100
El Paso, TX 79902-4740 - Phone
- (915) 239-2955
- Fax
- (915) 249-6155
- NPI assigned
- Dec 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 78504 | TX | Primary |
Addresses
Primary practice location
1225 E Cliff Dr Ste 100
El Paso, TX 79902-4740
Mailing address
1511 E Yandell Dr
El Paso, TX 79902-5629
Phone (915) 239-2955
Other practice location 1
201 S Darrington Rd Ste B
Horizon City, TX 79928-7526
Phone (915) 239-2955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78504 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Familia del Paso, Inc | Professional | Current | Accepting new patients |
Locations
1225 E Cliff Dr
Ste 100
El Paso, TX 79902
Phone (915) 239-2955
1511 E Yandell Dr
El Paso, TX 79902
Phone (915) 239-2955
201 S Darrington Rd
Ste B
Horizon City, TX 79928
Phone (915) 239-2955
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": "1576454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1609414184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 E YANDELL DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025629",
"telephone_number": "915-239-2955",
"fax_number": "915-249-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 E CLIFF DR STE 100",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024740",
"telephone_number": "915-239-2955",
"fax_number": "915-249-6155"
}
],
"practiceLocations": [
{
"address_1": "201 S Darrington Rd Ste B",
"address_purpose": "LOCATION",
"city": "Horizon City",
"state": "TX",
"postal_code": "799287526",
"country_code": "US",
"telephone_number": "915-239-2955",
"fax_number": "915-249-6155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALAZAR",
"first_name": "SAMUEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-16",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "78504",
"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 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.