Individual provider Active NPI

Jeanette Fierro, LPC

  • Professional Counselor
  • Van Horn, TX
National Provider Identifier
1639854003
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
87050 Issued in TX
Practice address
700 W Broadway St
Van Horn, TX 79855-2162
Phone
(432) 283-2732
NPI assigned
Jun 21, 2023
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129002102 TX Practitioner - Mental Health Counselor 2062860190 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87050TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Mar 12, 2024 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Jan 1, 2024 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.