NPIMap

Organization Active NPI

Weslaco Counseling Center, PLLC

  • Clinical Social Worker
  • Weslaco, TX
National Provider Identifier
1669913067
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55558 Issued in TX
Legal business name
WESLACO COUNSELING CENTER, PLLC
Practice address
1009 S Utah Ave Ste a
Weslaco, TX 78596-5588
Phone
(956) 520-8700
Fax
(888) 238-8865
NPI assigned
Mar 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Dr. Marisa G Ugalde, LCSWNPI 1811378250
Title
Owner/Psychotherapist
Phone
(956) 520-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 61413 TX
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 55558 TX Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

1009 S Utah Ave Ste a
Weslaco, TX 78596-5588

Mailing address

1009 S Utah Ave Ste a
Weslaco, TX 78596-5588
Phone (956) 520-8700

Other identifiers 1

IdentifierTypeStateIssuer
352979401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180816000046 TX Part B Supplier - Clinic/Group Practice 5597014068 Receives reassigned benefits from 2 practitioners
Practice locations: Weslaco, TX

National Provider Directory

National Provider Directory

Locations

1009 S Utah Ave
#A
Weslaco, TX 78596
Phone (956) 520-8700

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1669913067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 S UTAH AVE STE A",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965588",
            "telephone_number": "956-520-8700",
            "fax_number": "888-238-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 S UTAH AVE STE A",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965588",
            "telephone_number": "956-520-8700",
            "fax_number": "888-238-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLACO COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "UGALDE",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "956-520-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61413",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55558",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352979401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.