Active NPI
Irasema Garcia, LPC
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1669621009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62036
- Practice address
- 3301 Hamilton Ave
Suite 104
Fort Worth, TX 76107-1898 - Phone
- (817) 992-0410
- Fax
- (817) 237-9592
- NPI assigned
- Sep 10, 2008
- Last updated
- May 9, 2011
- 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 | 62036 | TX | Primary |
Addresses
Primary practice location
3301 Hamilton Ave
Suite 104
Fort Worth, TX 76107-1898
Mailing address
1196 Verde Oaks LN
Fort Worth, TX 76135-9034
Phone (817) 992-0410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197124402 | Medicaid | TX |
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 |
|---|---|---|---|
| 62036 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Current | Accepting new patients | |
| Enhanced Living Counseling | Professional | Past | Accepting new patients |
Locations
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411
Organizations & group practices 2
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.
-
- Professional Counselor
- Fort Worth, TX
- NPI 1013200435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1669621009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1196 VERDE OAKS LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761359034",
"telephone_number": "817-992-0410",
"fax_number": "817-237-9592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 HAMILTON AVE",
"address_2": "SUITE 104",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761071898",
"telephone_number": "817-992-0410",
"fax_number": "817-237-9592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "IRASEMA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197124402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.