Individual provider Active NPI

Claudia Zacarias

  • Professional Counselor
  • Edinburg, TX
National Provider Identifier
1629470596
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69820 Issued in TX
Practice address
2821 Michaelangelo Dr Ste 204
Edinburg, TX 78539-1423
Phone
(956) 362-8290
Fax
(956) 392-8295
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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 69820 TX Primary

Addresses

Primary practice location

2821 Michaelangelo Dr Ste 204
Edinburg, TX 78539-1423

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-8290

Other identifiers 1

IdentifierTypeStateIssuer
340673801MedicaidTX

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
I20240226004152 TX Practitioner - Mental Health Counselor 0345685632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

2821 W Michaelangelo Dr
Suite 204
Edinburg, TX 78539-1423
Phone (956) 362-8290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Foundation Professional CurrentSince Jan 15, 2024 Accepting new patients
Doctors Hospital at Renaissance, LTD PastSince Mar 4, 2021 Accepting new patients

Locations

2821 W Michaelangelo Dr
Ste 204
Edinburg, TX 78539
Phone (956) 362-2740

2821 W Michaelangelo Dr
Ste 200
Edinburg, TX 78539
Phone (956) 362-8215

2609 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 475-3581

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

1002 W Sam Houston Blvd
Ste 10
Pharr, TX 78577
Phone (956) 702-9882

Organizations & group practices 2

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": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1629470596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-8290",
            "fax_number": "956-961-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MICHAELANGELO DR STE 204",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391423",
            "telephone_number": "956-362-8290",
            "fax_number": "956-392-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACARIAS",
        "first_name": "CLAUDIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340673801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.