Active NPI
Elaine Mary Messarra, M.S. L.P.C.
- Mental Health Counselor
- Victoria, TX
National Provider Identifier
1669630232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12798
- Practice address
- 1501 E Mockingbird LN Ste 275
Victoria, TX 77904-2189 - Phone
- (361) 575-4351
- Fax
- (361) 575-1497
- NPI assigned
- May 29, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12798 | TX | Primary |
Addresses
Primary practice location
1501 E Mockingbird LN Ste 275
Victoria, TX 77904-2189
Mailing address
1501 E Mockingbird LN Ste 275
Victoria, TX 77904-2189
Phone (361) 575-4351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Medical Providers PC | Past | Accepting new patients | |
| Physicians Referral Service | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1073574810
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1669630232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 E MOCKINGBIRD LN STE 275",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042189",
"telephone_number": "361-575-4351",
"fax_number": "361-575-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E MOCKINGBIRD LN STE 275",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042189",
"telephone_number": "361-575-4351",
"fax_number": "361-575-1497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSARRA",
"first_name": "ELAINE",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "M.S. L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "12798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.