Individual provider Active NPI

Jorge Humberto Ortiz, LPC-ASSOCIATE

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1689437618
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
89312 Issued in TX
Practice address
500 N Capital of Texas Hwy Ste 117
Austin, TX 78746-3302
Phone
(512) 552-2765
NPI assigned
Feb 1, 2024
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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 89312 TX Primary

Addresses

Primary practice location

500 N Capital of Texas Hwy Ste 117
Austin, TX 78746-3302

Mailing address

15835 Foothill Farms Loop Apt 333
Pflugerville, TX 78660-3233
Phone (409) 344-1931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14111 Vance Jackson Rd
Apt 10108
San Antonio, TX 78249-1972

8431 Fredericksburg Rd
FL 5
San Antonio, TX 78229-3392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89312TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hacienda Counseling PLLC 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, 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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1689437618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15835 FOOTHILL FARMS LOOP APT 333",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603233",
            "telephone_number": "409-344-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CAPITAL OF TEXAS HWY STE 117",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787463302",
            "telephone_number": "512-552-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JORGE",
        "middle_name": "HUMBERTO",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.