Individual provider Active NPI

Samuel Salazar

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1609414184
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78504 Issued in TX
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

Updated by the provider on Dec 23, 2019

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 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

LicenseStateTypeSpecialty
78504TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
La Familia del Paso, Inc Professional CurrentSince Dec 29, 2017 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.

Verify at the official NPI Registry.