Luis Antonio Ortiz-Theriault

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

76893 Issued in TX

Practice address

11123 McCracken Cir Ste C
Cypress, TX 77429-4461

Phone

(281) 653-6572

NPI assigned

Mar 11, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spero Behavioral Health and Wellness, PLLC

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1154947083
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1710445549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10925 BRIAR FOREST DR APT 1101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422215",
            "telephone_number": "408-888-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11123 MCCRACKEN CIR STE C",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294461",
            "telephone_number": "281-653-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-THERIAULT",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Michelle Ortega
• Ortholonestar, PLLC (Advanced Orthopaedics & Sports Medicine)
• Ortholonestar, PLLC (Fondren Orthopedic Group)
• Ortholonestar, PLLC (Advanced Orthopaedics & Sports Medicine)
• Barbara- Yadira Ortiz-Gonzalez, APRN,FNP-C
• Cynthia Ortiz
• Jasmine Ortiz
• Funke Florence Osaremwinda
• Nosayaba Cynthia Osayi, COTA
• Mabel Osazuwa

• Mental Health Counselor in Cypress, TX
• Providers in Cypress, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.