Individual provider Active NPI

Patricia L Pastors, LPC

  • Professional Counselor
  • San Angelo, TX
National Provider Identifier
1750874657
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75382 Issued in TX
Practice address
3131 Executive Dr
San Angelo, TX 76904-6801
Phone
(325) 234-5164
Fax
(325) 610-6122
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 75382 TX Primary

Addresses

Primary practice location

3131 Executive Dr
San Angelo, TX 76904-6801

Mailing address

3201 Sierra Dr
San Angelo, TX 76904-6935
Phone (325) 234-5164

Other names 1

  • Patricia L Ray Former name

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
I20240611003329 TX Practitioner - Mental Health Counselor 6800338419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3131 Executive Dr
San Angelo, TX 76904-6801
Phone (325) 234-5164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75382TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pat L Pastors Professional CurrentSince May 4, 2024 Accepting new patients
West Texas Counseling & Guidance Inc Professional PastSince Mar 21, 2018 Accepting new patients

Locations

3131 Executive Dr
San Angelo, TX 76904
Phone (325) 234-5164

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1750874657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SIERRA DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046935",
            "telephone_number": "325-234-5164",
            "fax_number": "325-610-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 EXECUTIVE DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046801",
            "telephone_number": "325-234-5164",
            "fax_number": "325-610-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTORS",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "RAY",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.