Active NPI
Elizabeth Cruz Delagarza, M.ED.
- Professional Counselor
- Houston, TX
National Provider Identifier
1801475934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 79823
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46-1392824 | Medicaid | TX |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 79823 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Professional Counselor
- San Antonio, TX
- NPI 1811288731
-
- Professional Counselor
- Kingwood, TX
- NPI 1720749021
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.