Active NPI
Irisdomar Santiago Molina, LMHC
- Professional Counselor
- Laredo, TX
National Provider Identifier
1770936346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 97146
- Practice address
- 1500 Pappas St
Laredo, TX 78041-1701 - Phone
- (956) 794-3000
- NPI assigned
- Jul 19, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 4770 | PR | |
| Mental Health Counselor | 101YM0800X | MH20222 | FL | |
| Professional Counselor | 101YP2500X | 97146 | TX | Primary |
Addresses
Primary practice location
1500 Pappas St
Laredo, TX 78041-1701
Mailing address
3203 Zander Dr Apt 102
Kissimmee, FL 34747-1178
Phone (407) 300-6548
Other practice location 1
1999 W Colonial Dr
Orlando, FL 32804-7021
Phone (407) 219-9304
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
240 N Miller Rd
Mansfield, TX 76063-5842
Phone (214) 432-8322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH20222 | FL | MD | Mental Health Counselor |
| 97146 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Border Region MH Mr Community Center | Current | Accepting new patients | |
| Texas Health Virtual Care | Current | Accepting new patients |
Locations
1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000
240 N Miller Rd
Mansfield, TX 76063
Phone (214) 432-8322
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1942951199
-
- Psychiatry Physician
- Laredo, TX
- NPI 1124060173
-
- Psychiatry Physician
- Mansfield, TX
- NPI 1003507542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1770936346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3203 ZANDER DR APT 102",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347471178",
"telephone_number": "407-300-6548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PAPPAS ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780411701",
"telephone_number": "956-794-3000"
}
],
"practiceLocations": [
{
"address_1": "1999 W Colonial Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328047021",
"country_code": "US",
"telephone_number": "407-219-9304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO MOLINA",
"first_name": "IRISDOMAR",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "4770",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH20222",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "97146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.