Individual provider Active NPI

Jose Alonso Cabriales, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • El Paso, TX
National Provider Identifier
1629891908
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
17097 Issued in TX
Practice address
8500 Boeing Dr
El Paso, TX 79925-1224
Phone
(915) 599-6600
NPI assigned
Nov 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17097 TX Primary

Addresses

Primary practice location

8500 Boeing Dr
El Paso, TX 79925-1224

Mailing address

8500 Boeing Dr
El Paso, TX 79925-1224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20250410001378 TX Practitioner - Mental Health Counselor 2062936156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17097TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Community MHMR CurrentSince Jan 31, 2025 Accepting new patients
El Paso Community MHMR Current Accepting new patients
El Paso Community MHMR CurrentSince Jan 31, 2025 Accepting new patients

Locations

1551 Montana Ave
El Paso, TX 79902
Phone (915) 747-3510

201 E Main Dr
Ste 600
El Paso, TX 79901
Phone (915) 887-3419

8730 Boeing Dr
El Paso, TX 79925
Phone (915) 599-6600

8500 Boeing Dr
El Paso, TX 79925
Phone (915) 242-0555

1600 Montana Ave
El Paso, TX 79902
Phone (915) 877-3410

Organizations & group practices 3

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": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1629891908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 BOEING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 BOEING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251224",
            "telephone_number": "915-599-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRIALES",
        "first_name": "JOSE",
        "middle_name": "ALONSO",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "17097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.