Gerardo M Ponce

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

63634 Issued in TX

Practice address

1901 S 24TH Ave
Edinburg, TX 78539-6533

Phone

(956) 289-7000

Fax

(956) 289-7257

NPI assigned

Jan 24, 2008

Last updated

Jan 24, 2008By the provider in NPPES

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1780861492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 OLD ALICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208551",
            "telephone_number": "956-289-7000",
            "fax_number": "956-289-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 24TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396533",
            "telephone_number": "956-289-7000",
            "fax_number": "956-289-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "GERARDO",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00R945",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138708611",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Play Strong Therapy Center
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• Playworks Therapy, PLLC
• Santiago Pompa
• Carlos T Ponce III, LPC
• Maricela Ponce, LPC
• Chelsea Pope
• Priscilla Porter
• Maria S Portillo, LPC
• Jon Michael Posada, MOT, OTR/L

• Professional Counselor in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.