Individual provider Active NPI

Maria Rangel- Gomez, LPC

  • Professional Counselor
  • Corpus Christi, TX
National Provider Identifier
1730684911
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65467 Issued in TX
Practice address
5114 Benchfield Dr
Corpus Christi, TX 78413-5631
Phone
(361) 600-5165
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X
Professional Counselor 101YP2500X 65467 TX Primary

Addresses

Primary practice location

5114 Benchfield Dr
Corpus Christi, TX 78413-5631

Mailing address

PO Box 270551
Corpus Christi, TX 78427-0551
Phone (361) 600-5165

Other practice location 1

2230 Saratoga Blvd
Corpus Christi, TX 78417-3400
Phone (361) 881-4788

Other practice location 2

4639 Corona Dr Ste 34
Corpus Christi, TX 78411-5430
Phone (361) 442-4024

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
I20231204000307 TX Practitioner - Mental Health Counselor 2062860927 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65467TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince Mar 26, 2024 Accepting new patients
Coastal Bend Psychological Associates Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

5959 S Staples St
Ste 200
Corpus Christi, TX 78413
Phone (361) 442-4024

4639 Corona Dr
Ste 34
Corpus Christi, TX 78411
Phone (361) 442-4024

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, 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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1730684911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270551",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784270551",
            "telephone_number": "361-600-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 BENCHFIELD DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135631",
            "telephone_number": "361-600-5165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 Saratoga Blvd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784173400",
            "country_code": "US",
            "telephone_number": "361-881-4788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4639 Corona Dr Ste 34",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784115430",
            "country_code": "US",
            "telephone_number": "361-442-4024",
            "fax_number": "361-806-9491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGEL- GOMEZ",
        "first_name": "MARIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.