Active NPI
Jorge Ricardo Montes, LICENSED PROFESSIONA
- Counselor
- El Paso, TX
National Provider Identifier
1790820363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 14642
- Practice address
- 11450 Rojas Dr
Suite D13-14, Space 20
El Paso, TX 79936-6992 - Phone
- (915) 355-7958
- Fax
- (915) 533-0105
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 14642 | TX | Primary |
Addresses
Primary practice location
11450 Rojas Dr
Suite D13-14, Space 20
El Paso, TX 79936-6992
Mailing address
PO Box 71033
El Paso, TX 79917-1033
Phone (915) 355-7958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113112001 | Medicaid | TX |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240729001654 | TX | Practitioner - Mental Health Counselor | 3476099219 | Practice locations: Elpaso, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14642 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1790820363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71033",
"city": "EL PASO",
"state": "TX",
"postal_code": "799171033",
"telephone_number": "915-355-7958",
"fax_number": "915-533-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11450 ROJAS DR",
"address_2": "SUITE D13-14, SPACE 20",
"city": "EL PASO",
"state": "TX",
"postal_code": "799366992",
"telephone_number": "915-355-7958",
"fax_number": "915-533-0105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTES",
"first_name": "JORGE",
"middle_name": "RICARDO",
"name_prefix": "Mr.",
"credential": "LICENSED PROFESSIONA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "14642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113112001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.