Active NPI
Carmen Molina, LPC, BCBA
- Behavior Analyst
- El Paso, TX
National Provider Identifier
1679903371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1700
- Practice address
- 1200 Golden Key Cir Ste 121
El Paso, TX 79925-5813 - Phone
- (915) 500-9288
- NPI assigned
- Nov 15, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 65164 | TX | |
| Behavior Analyst | 103K00000X | 1700 | TX | Primary |
| Counselor | 101Y00000X | 65164 | TX |
Addresses
Primary practice location
1200 Golden Key Cir Ste 121
El Paso, TX 79925-5813
Mailing address
12649 Katherine Brennand Rd
El Paso, TX 79928-5892
Phone (915) 217-4648
Other practice location 1
12649 Katherine Brennand Rd
El Paso, TX 79928-5892
Phone (915) 217-4648
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65164 | TX | MD | Counselor |
| 1700 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Interventions LLC | Mental Health | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1679903371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12649 KATHERINE BRENNAND RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799285892",
"telephone_number": "915-217-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 GOLDEN KEY CIR STE 121",
"city": "EL PASO",
"state": "TX",
"postal_code": "799255813",
"telephone_number": "915-500-9288"
}
],
"practiceLocations": [
{
"address_1": "12649 Katherine Brennand Rd",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799285892",
"country_code": "US",
"telephone_number": "915-217-4648",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLINA",
"first_name": "CARMEN",
"credential": "LPC, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-15",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "65164",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1700",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "65164",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.