Individual provider Active NPI

Nicole L Garza

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1629548300
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
75927 Issued in TX
Practice address
3733 S Port Ave
Corpus Christi, TX 78415-4532
Phone
(361) 886-4628
NPI assigned
Nov 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 75927 TX
Mental Health Counselor 101YM0800X 75927 TX Primary

Addresses

Primary practice location

3733 S Port Ave
Corpus Christi, TX 78415-4532

Mailing address

3733 S Port Ave
Corpus Christi, TX 78415-4532
Phone (361) 886-4628

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
I20240207000544 TX Practitioner - Mental Health Counselor 7416390422 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nueces County Mental Health & Mental Retardation Community Ctr CurrentSince Jan 1, 2024 Accepting new patients
Nueces County Mental Health & Mental Retardation Community Ctr. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1630 S Brownlee Blvd
Corpus Christi, TX 78404
Phone (361) 980-9652

3733 S Port Ave
Corpus Christi, TX 78415
Phone (361) 886-4628

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": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1629548300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 S PORT AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154532",
            "telephone_number": "361-886-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 S PORT AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154532",
            "telephone_number": "361-886-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "NICOLE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75927",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.