Individual provider Active NPI

Elaine Mary Messarra, M.S. L.P.C.

  • Mental Health Counselor
  • Victoria, TX
National Provider Identifier
1669630232
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12798 Issued in TX
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

Updated by the provider on May 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.