Individual provider Active NPI

Jorge Ricardo Montes, LICENSED PROFESSIONA

  • Counselor
  • El Paso, TX
National Provider Identifier
1790820363
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
14642 Issued in TX
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

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
113112001MedicaidTX

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
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
14642TXMDCounselor

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

Verify at the official NPI Registry.