Individual provider Active NPI

Martha Lilia Varela-Rios, LP

  • Clinical Psychologist
  • Alton, TX
National Provider Identifier
1730400847
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39742 Issued in TX
Practice address
1114 N Alton Blvd
Alton, TX 78573-1030
Phone
(956) 600-6736
Fax
(956) 391-2880
NPI assigned
Jun 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64633 TX
Clinical Psychologist 103TC0700X 39742 TX Primary

Addresses

Primary practice location

1114 N Alton Blvd
Alton, TX 78573-1030

Mailing address

3012 E Main Ave Ste a
Alton, TX 78573-0908
Phone (956) 457-3049

Other practice location 1

208 N Britton Ave
Rio Grande City, TX 78582-3843
Phone (956) 600-6736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240911001909 TX Practitioner - Clinical Psychologist 6507188554 Reassigns benefits to 1 organization
I20250508001623 TX Practitioner - Mental Health Counselor 6507188554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64633TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Growing Together Inc Professional CurrentSince Feb 10, 2012 Accepting new patients
Generations Growing Together, Inc Professional Current Accepting new patients

Locations

1114 N Alton Blvd
Alton, TX 78573
Phone (956) 600-6736

603 E 3rd St
Rio Grande City, TX 78582
Phone (956) 422-8499

208 N Britton Ave
Rio Grande Cy, TX 78582
Phone (956) 413-8786

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": "1276387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1730400847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 E MAIN AVE STE A",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785730908",
            "telephone_number": "956-457-3049",
            "fax_number": "956-391-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 N ALTON BLVD",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785731030",
            "telephone_number": "956-600-6736",
            "fax_number": "956-391-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 N Britton Ave",
            "address_purpose": "LOCATION",
            "city": "Rio Grande City",
            "state": "TX",
            "postal_code": "785823843",
            "country_code": "US",
            "telephone_number": "956-600-6736",
            "fax_number": "956-391-2880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARELA-RIOS",
        "first_name": "MARTHA",
        "middle_name": "LILIA",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-13",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64633",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, TX

Sources for this page

Verify at the official NPI Registry.