Individual provider Active NPI

Anna Marie Fuentes, LPC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1740767250
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16007 Issued in TX
Practice address
1933 Shadow Ridge Dr
El Paso, TX 79938-4622
Phone
(915) 276-1158
NPI assigned
Jul 26, 2018
Last updated
Jul 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16007 TX Primary

Addresses

Primary practice location

1933 Shadow Ridge Dr
El Paso, TX 79938-4622

Mailing address

1933 Shadow Ridge Dr
El Paso, TX 79938-4622
Phone (915) 276-1158

Other names 1

  • Anna Tirres Fuentes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16007TXMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: anna.fuentes@pvida.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1740767250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 SHADOW RIDGE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384622",
            "telephone_number": "915-276-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 SHADOW RIDGE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384622",
            "telephone_number": "915-276-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "FUENTES",
            "middle_name": "TIRRES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.