Active NPI
Bernadette Ontiveros, LPC
- Professional Counselor
- El Paso, TX
National Provider Identifier
1740418169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75206
- Practice address
- 11710 Pebble Hills Blvd
El Paso, TX 79936-0802 - Phone
- (915) 533-7057
- Fax
- (905) 533-7158
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0122331 | NM | |
| Professional Counselor | 101YP2500X | 75206 | TX | Primary |
Addresses
Primary practice location
11710 Pebble Hills Blvd
El Paso, TX 79936-0802
Mailing address
3607 Rivera Ave
El Paso, TX 79905-2415
Phone (915) 533-7057
Other practice location 1
6621 Doniphan Dr Ste G
Canutillo, TX 79835-5005
Phone (915) 877-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VNM01103NI | Other | NM | VALUE OPTIONS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1600 N Lee Trevino Dr
Suite C3
El Paso, TX 79936-5164
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0122331 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| 75206 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Passage Counseling LLC | Professional | Current | Accepting new patients |
| Sunwest Behavioral Associates PA | Past | Accepting new patients |
Locations
1600 N Lee Trevino Dr
Ste C3
El Paso, TX 79936
Phone (915) 598-2190
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.
-
- Professional Counselor
- El Paso, TX
- NPI 1588278816
-
- Psychiatry Physician
- El Paso, TX
- NPI 1053578021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1740418169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3607 RIVERA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052415",
"telephone_number": "915-533-7057",
"fax_number": "915-533-7158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11710 PEBBLE HILLS BLVD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799360802",
"telephone_number": "915-533-7057",
"fax_number": "905-533-7158"
}
],
"practiceLocations": [
{
"address_1": "6621 Doniphan Dr Ste G",
"address_purpose": "LOCATION",
"city": "Canutillo",
"state": "TX",
"postal_code": "798355005",
"country_code": "US",
"telephone_number": "915-877-5100",
"fax_number": "915-877-5107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ONTIVEROS",
"first_name": "BERNADETTE",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "0122331",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "VNM01103NI",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
- Oncology Pharmacy Services, Inc
- Stevenson Santiago Ongsyping, MD
- Donna Monique Onsurez
- Bianca M Ontiveros Loya, NP
- Benjamin Ontiveros, PMHNP-BC
- Catalina Ontiveros, M.S., CCC-SLP
- Deborah M. Ontiveros, LPC, CEAP, PHR
- Evelyn Griselda Ontiveros, NP-C
- Hugo Alan Ontiveros, RN
- James Edward Ontiveros, M.S.,CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.