Individual provider Active NPI

Vanessa Cervantes, LPC, LCDC-I

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1679321178
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88459 Issued in TX
Practice address
1600 N Lee Trevino Dr Ste B4
El Paso, TX 79936-5164
Phone
(915) 312-2868
NPI assigned
May 9, 2024
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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 88459 TX Primary

Addresses

Primary practice location

1600 N Lee Trevino Dr Ste B4
El Paso, TX 79936-5164

Mailing address

PO Box 2357
El Paso, TX 79952-2357
Phone (915) 222-0031

Other practice location 1

6090 Surety Dr Ste 400
El Paso, TX 79905-2060
Phone (915) 979-7402

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
I20241212002816 TX Practitioner - Mental Health Counselor 0244766335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lopez Behavioral, PLLCGroup PAC ID 9830564426, 3 clinicians

Practice addresses (Care Compare)

6600 Montana Ave
Suite P
El Paso, TX 79925-2149
Phone 9156711371208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88459TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lopez Behavioral PLLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

1600 N Lee Trevino Dr
Ste B4
El Paso, TX 79936
Phone (915) 312-2868

1605 George Dieter Dr
Ste 636
El Paso, TX 79936
Phone (915) 274-1617

6600 Montana Ave
Ste P
El Paso, TX 79925
Phone (915) 201-0199

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": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1679321178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2357",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799522357",
            "telephone_number": "915-222-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N LEE TREVINO DR STE B4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365164",
            "telephone_number": "915-312-2868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6090 Surety Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052060",
            "country_code": "US",
            "telephone_number": "915-979-7402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "VANESSA",
        "credential": "LPC, LCDC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.