Individual provider Active NPI

Janet Garcia, EDD, LPC

  • Professional Counselor
  • Canyon, TX
National Provider Identifier
1669127791
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
60820 Issued in TX
Practice address
17300 Valley Lake Dr
Canyon, TX 79015-7143
Phone
(806) 670-9444
NPI assigned
Feb 17, 2022
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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 60820 TX Primary

Addresses

Primary practice location

17300 Valley Lake Dr
Canyon, TX 79015-7143

Mailing address

17300 Valley Lake Dr
Canyon, TX 79015-7143
Phone (806) 670-9444

Other names 1

  • Jan Garcia Professional name

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
I20240419001042 TX Practitioner - Mental Health Counselor 1052750361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Texas Tech University Health Science Center School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Assurasource LTDGroup PAC ID 8123125580, 61 clinicians

Practice addresses (Care Compare)

400 N Allen Dr
Suite 204
Allen, TX 75013-2568
Phone (972) 233-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60820TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Assurasource LTD Professional CurrentSince Apr 1, 2024 Accepting new patients

Locations

400 N Allen Dr
Ste 204
Allen, TX 75013

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, 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": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1669127791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 VALLEY LAKE DR",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790157143",
            "telephone_number": "806-670-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 VALLEY LAKE DR",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790157143",
            "telephone_number": "806-670-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JANET",
        "credential": "EDD,  LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "GARCIA",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Canyon, TX

Sources for this page

Verify at the official NPI Registry.