Humberto Xavier Reveles, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63430 Issued in TX

Practice address

345 Owen Lane Suite 102
Waco, TX 76710

Phone

(512) 686-6012

Fax

(512) 842-7227

NPI assigned

Jul 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. H. Xavier Reveles Professional name

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Get Out of Your Head Therapy LLCGroup PAC ID 6608162896, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Get Out of Your Head Therapy, LLC

  • Professional Counselor
  • Waco, TX
  • NPI 1710359690

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1750935110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 HEWITT DR STE 103, #218",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126693",
            "telephone_number": "512-686-6012",
            "fax_number": "512-842-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 OWEN LANE SUITE 102",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76710",
            "telephone_number": "512-686-6012",
            "fax_number": "512-842-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELES",
        "first_name": "HUMBERTO",
        "middle_name": "XAVIER",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "H.",
            "last_name": "REVELES",
            "middle_name": "XAVIER",
            "prefix": "MR.",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Renee Dawn Resendez, NNP- BC
• Residency at Ridgewood, LLC
• Reweeaks, Inc.
• Erica Marie Reyes-Rosas
• Emmanuel Reynoso
• Makala Paige Reynoso
• Jodi Rhines, LCSW

• Clinical Social Worker in Waco, TX
• Providers in Waco, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.

Verify at the official NPI Registry.