Active NPI
Jeanette Fierro, LPC
- Professional Counselor
- Van Horn, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 87050
- Practice address
- 700 W Broadway St
Van Horn, TX 79855-2162 - Phone
- (432) 283-2732
- NPI assigned
- Jun 21, 2023
- Last updated
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 87050 | TX | Primary |
Addresses
Primary practice location
700 W Broadway St
Van Horn, TX 79855-2162
Mailing address
PO Box 594
Van Horn, TX 79855-0594
Phone (432) 703-4011
Other practice location 1
410 Date St
Van Horn, TX 79855-2195
Phone (432) 703-4011
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87050 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
| Permian Basin Community Centers for Mental Health & Mental Retardation | Current | Accepting new patients | |
| Permian Basin Community Centers for Mental Health & Mental Retardation | Current | Accepting new patients | |
| Shine Medical Providers PC | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
805 N 5th St
Alpine, TX 79830
Phone (432) 837-3373
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300
401 E Illinois Ave
Ste 300
Midland, TX 79701
Phone (432) 570-3342
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Midland, TX
- NPI 1700976453
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alpine, TX
- NPI 1851464119
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1639854003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 594",
"city": "VAN HORN",
"state": "TX",
"postal_code": "798550594",
"telephone_number": "432-703-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W BROADWAY ST",
"city": "VAN HORN",
"state": "TX",
"postal_code": "798552162",
"telephone_number": "432-283-2732"
}
],
"practiceLocations": [
{
"address_1": "410 Date St",
"address_purpose": "LOCATION",
"city": "Van Horn",
"state": "TX",
"postal_code": "798552195",
"country_code": "US",
"telephone_number": "432-703-4011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIERRO",
"first_name": "JEANETTE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "87050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Horn, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.