Active NPI
Lynette Diane Salazar, M. ED., LPC-A
- Professional Counselor
- Carrizo Springs, TX
National Provider Identifier
1629644513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 86094
- Practice address
- 902 S 5TH St
Carrizo Springs, TX 78834-4206 - Phone
- (830) 876-2611
- Fax
- (830) 876-3776
- NPI assigned
- Jun 1, 2021
- Sex
- Female
- 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 | 86094 | TX | Primary |
Addresses
Primary practice location
902 S 5TH St
Carrizo Springs, TX 78834-4206
Mailing address
PO Box 599
Cotulla, TX 78014-0599
Phone (830) 879-3047
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86094 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1629644513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 599",
"city": "COTULLA",
"state": "TX",
"postal_code": "780140599",
"telephone_number": "830-879-3047",
"fax_number": "830-879-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 S 5TH ST",
"city": "CARRIZO SPRINGS",
"state": "TX",
"postal_code": "788344206",
"telephone_number": "830-876-2611",
"fax_number": "830-876-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "LYNETTE",
"middle_name": "DIANE",
"credential": "M. ED., LPC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "86094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrizo Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.