Active NPI
Martha Leticia Calderon Galassi, LPC
- Professional Counselor
- Mission, TX
National Provider Identifier
1699287680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73147
- Practice address
- 1512 E Griffin Pkwy # 8
Mission, TX 78572-2416 - Phone
- (956) 424-3433
- Fax
- (956) 424-3799
- NPI assigned
- Oct 30, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 73147 | TX | Primary |
Addresses
Primary practice location
1512 E Griffin Pkwy # 8
Mission, TX 78572-2416
Mailing address
1512 E Griffin Pkwy # 8
Mission, TX 78572-2416
Phone (956) 424-3433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73147 | Other | TX | TEXAS DEPARTMENT OF STATE HEALTH SERVICES |
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 |
|---|---|---|---|
| 73147 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1699287680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 E GRIFFIN PKWY # 8",
"city": "MISSION",
"state": "TX",
"postal_code": "785722416",
"telephone_number": "956-424-3433",
"fax_number": "956-424-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 E GRIFFIN PKWY # 8",
"city": "MISSION",
"state": "TX",
"postal_code": "785722416",
"telephone_number": "956-424-3433",
"fax_number": "956-424-3799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON GALASSI",
"first_name": "MARTHA",
"middle_name": "LETICIA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
"identifier": "73147",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.