Individual provider Active NPI

Mirtha Marlene Alvarez

  • Professional Counselor
  • Shavano Park, TX
National Provider Identifier
1619603461
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82751 Issued in TX
Practice address
4372 N Loop 1604 W
Shavano Park, TX 78249-3486
Phone
(713) 874-6729
NPI assigned
Jul 25, 2022
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 82751 TX Primary

Addresses

Primary practice location

4372 N Loop 1604 W
Shavano Park, TX 78249-3486

Mailing address

9010 Moccasin LK
San Antonio, TX 78245-1839
Phone (713) 874-6729

Other practice location 1

9010 Moccasin Lk
San Antonio, TX 78245-1839
Phone (281) 905-6093

Other practice location 2

2900 Louisiana St
Houston, TX 77006-3435
Phone (713) 874-6729

Other names 1

  • Mirtha Marlene Ramirez Former name

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
82751TXMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: mirtha.alvarez.1@25119.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1619603461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 MOCCASIN LK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451839",
            "telephone_number": "713-874-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4372 N LOOP 1604 W",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782493486",
            "telephone_number": "713-874-6729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9010 Moccasin Lk",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782451839",
            "country_code": "US",
            "telephone_number": "281-905-6093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Louisiana St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770063435",
            "country_code": "US",
            "telephone_number": "713-874-6729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "MIRTHA",
        "middle_name": "MARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRTHA",
            "last_name": "RAMIREZ",
            "middle_name": "MARLENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shavano Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.