Individual provider Active NPI

Elizabeth Cruz Delagarza, M.ED.

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1801475934
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79823 Issued in TX
Practice address
700 N Sam Houston Pkwy W
Houston, TX 77067-4335
Phone
(713) 702-2332
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 79823 TX Primary

Addresses

Primary practice location

700 N Sam Houston Pkwy W
Houston, TX 77067-4335

Mailing address

19675 Pin Oak Dr
Porter, TX 77365-3877
Phone (713) 702-2332

Other identifiers 1

IdentifierTypeStateIssuer
46-1392824MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Houston Direct
CONNECT URL Houston Direct

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
I20260528000734 TX Practitioner - Mental Health Counselor 8628548914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17503 La Cantera Pkwy
Suite 104
San Antonio, TX 78257-4000

PO Box
Suite 186859
Hamden, CT 06518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
79823TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Conquer Counseling LLC Professional Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1801475934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19675 PIN OAK DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653877",
            "telephone_number": "713-702-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N SAM HOUSTON PKWY W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674335",
            "telephone_number": "713-702-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAGARZA",
        "first_name": "ELIZABETH",
        "middle_name": "CRUZ",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46-1392824",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "endpointDescription": "Houston",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "700 N Sam Houston Pkwy W",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770674335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "endpointDescription": "Houston",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "700 N Sam Houston Pkwy W",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770674335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.