Individual provider Active NPI

Lorenzo Ortiz, LPC

  • Professional Counselor
  • Crystal City, TX
National Provider Identifier
1689638132
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14744 Issued in TX
Practice address
203 N Avenue C
Crystal City, TX 78839-3550
Phone
(830) 374-9191
NPI assigned
Apr 13, 2006
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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 14744 TX Primary

Addresses

Primary practice location

203 N Avenue C
Crystal City, TX 78839-3550

Mailing address

203 N Avenue C
Crystal City, TX 78839-3550
Phone (830) 374-9191

Other identifiers 2

IdentifierTypeStateIssuer
027823601MedicaidTX
82303LOtherTXBLUE CROSS BLUE SHIELD

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
I20240226002251 TX Practitioner - Mental Health Counselor 3173972270 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14744TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Camino Real Community MHMR Center CurrentSince Apr 3, 2025 Accepting new patients
Vida Y Salud-Health Systems Inc CurrentSince Jan 21, 2024 Accepting new patients
Camino Real Community MHMR Center Past Accepting new patients
Vshsi Lpisd Community Based and School Based Clinic PastSince Jan 21, 2024 Accepting new patients
Lorenzo Ortiz Dba Wintergarden Counseling Services Professional Past Accepting new patients

Locations

308 S Cesar Chavez Ave
Crystal City, TX 78839
Phone (830) 374-2301

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

Organizations & group practices 5

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1689638132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N AVENUE C",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788393550",
            "telephone_number": "830-374-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N AVENUE C",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788393550",
            "telephone_number": "830-374-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "LORENZO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027823601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82303L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal City, TX

Sources for this page

Verify at the official NPI Registry.