Daniel F. Ascencao, LPC

Individual provider Active NPI Professional Counselor · Lytle, TX

NPI 1659540458 · NPPES record last updated Feb 26, 2008

Key facts

NPI
1659540458
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
62406 (TX)
Practice address
19965 FM 3175
Lytle, TX 78052-3481
Phone
(210) 357-0369
Fax
(210) 357-0458
NPI assigned
Feb 26, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240205002764 TX Practitioner - Mental Health Counselor 2668815887 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
62406TXMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 62406 TX Yes

Addresses

Primary practice location

19965 FM 3175
Lytle, TX 78052-3481

Mailing address

PO Box 725
Lytle, TX 78052-0725
Phone (210) 357-0369

Other identifiers

IdentifierTypeStateIssuer
62406OtherTXLICENSE

Other providers in Lytle, TX

All providers in Lytle, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.