Individual provider Active NPI

Lizeth Zavala

  • Professional Counselor
  • Tyler, TX
National Provider Identifier
1629745294
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
94507 Issued in TX
Practice address
1350 E Richards St
Tyler, TX 75702-6153
Phone
(903) 531-9455
Fax
(903) 526-3118
NPI assigned
Aug 23, 2021
Reactivated
Feb 10, 2026
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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 94507 TX Primary

Addresses

Primary practice location

1350 E Richards St
Tyler, TX 75702-6153

Mailing address

1350 E Richards St
Tyler, TX 75702-6153
Phone (903) 531-9455

Other practice location 1

409 W Ferguson St
Tyler, TX 75702-5632
Phone (903) 596-8353

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
94507TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1629745294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E RICHARDS ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757026153",
            "telephone_number": "903-531-9455",
            "fax_number": "903-526-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E RICHARDS ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757026153",
            "telephone_number": "903-531-9455",
            "fax_number": "903-526-3118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 W Ferguson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757025632",
            "country_code": "US",
            "telephone_number": "903-596-8353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "LIZETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "deactivation_date": "2024-02-05",
        "reactivation_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "94507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.