Individual provider Active NPI

Maria D Valencia, LPC, LCDC

  • Mental Health Counselor
  • El Paso, TX
National Provider Identifier
1740716463
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
80889 Issued in TX
Practice address
1390 George Dieter Dr Ste 140
El Paso, TX 79936-7430
Phone
(915) 320-1390
Fax
(915) 857-5182
NPI assigned
May 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12218 TX
Mental Health Counselor 101YM0800X 80889 TX Primary

Addresses

Primary practice location

1390 George Dieter Dr Ste 140
El Paso, TX 79936-7430

Mailing address

12276 Tierra Canada Dr
El Paso, TX 79938-4709
Phone (915) 407-4331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12218TXMDAddiction (Substance Use Disorder) Counselor
80889TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Endeavors, Inc CurrentSince Oct 30, 2022 Accepting new patients

Locations

1390 George Dieter Dr
Ste 140
El Paso, TX 79936
Phone (915) 320-1390

Organizations & group practices 1

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": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1740716463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12276 TIERRA CANADA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384709",
            "telephone_number": "915-407-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 GEORGE DIETER DR STE 140",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367430",
            "telephone_number": "915-320-1390",
            "fax_number": "915-857-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "MARIA",
        "middle_name": "D",
        "credential": "LPC, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12218",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.