Individual provider Active NPI

Dirce Ortiz, LPC

  • Counselor
  • Houston, TX
National Provider Identifier
1730258435
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
16691 Issued in TX
Practice address
2855 Mangum Rd Ste 572
Houston, TX 77092-7553
Phone
(832) 951-3685
Fax
(281) 741-3861
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 16691 TX
Counselor 101Y00000X 16691 TX Primary

Addresses

Primary practice location

2855 Mangum Rd Ste 572
Houston, TX 77092-7553

Mailing address

2855 Mangum Rd Ste 572
Houston, TX 77092-7553
Phone (832) 951-3685

Other identifiers 1

IdentifierTypeStateIssuer
175823702MedicaidTX

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
I20231213003735 TX Practitioner - Mental Health Counselor 8921457144 Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16691TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dirce N Ortiz Ma LPC PLLC Mental Health CurrentSince Jan 6, 2025 Accepting new patients
The Harris Center for Mental Health and Idd PastSince Oct 30, 2000 Accepting new patients

Locations

2855 Mangum Rd
Ste 572
Houston, TX 77092
Phone (832) 951-3685

Organizations & group practices 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1730258435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 MANGUM RD STE 572",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770927553",
            "telephone_number": "832-951-3685",
            "fax_number": "281-741-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 MANGUM RD STE 572",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770927553",
            "telephone_number": "832-951-3685",
            "fax_number": "281-741-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "DIRCE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "16691",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "16691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175823702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.