Individual provider Active NPI

Griselda Villalobos, PH.D., LCSW

  • Clinical Psychologist
  • El Paso, TX
National Provider Identifier
1821007113
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39303 Issued in TX
Practice address
1316 N Yarbrough Dr Ste 2a
El Paso, TX 79925-7803
Phone
(915) 373-6021
Fax
(844) 691-1283
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 25440 TX
Professional Counselor 101YP2500X 25440 TX
Clinical Social Worker 1041C0700X 25440 TX
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 39303 TX Primary

Addresses

Primary practice location

1316 N Yarbrough Dr Ste 2a
El Paso, TX 79925-7803

Mailing address

1316 N Yarbrough Dr Ste 2a
El Paso, TX 79925-7803
Phone (915) 373-6021

Other identifiers 2

IdentifierTypeStateIssuer
1721474-02MedicaidTX
1721474-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041119000331 TX Practitioner - Clinical Social Worker 0941264824 Reassigns benefits to 3 organizations
Practice locations: El Paso, TX
I20230104002150 TX Practitioner - Clinical Psychologist 0941264824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Cognitive Behavioral Institute of El PasoGroup PAC ID 8123433208, 5 clinicians

Practice addresses (Care Compare)

1316 N Yarbrough Dr
El Paso, TX 79925-7803
Phone (915) 373-6021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
25440TXMDProfessional Counselor
39303TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ysleta del Sur Pueblo Community Health Center Single Specialty CurrentSince Oct 1, 2014 Accepting new patients
Wellmind, PLLC Mental Health CurrentSince Jun 20, 2019 Accepting new patients
The Cognitive Behavioral Institute of El Paso Clinical CurrentSince Jan 1, 2021 Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients
Consultants in Anesthesia PA Single Specialty Past Accepting new patients
Ruben Moreno, LCSW, PC Single Specialty PastSince Aug 7, 2016 Accepting new patients
Deer Oaks Geriatric Services P C Clinical PastSince Jan 23, 2023 Accepting new patients
Family Service of El Paso Professional PastSince Oct 13, 2016 Accepting new patients
Jorge G Lodeiro MD PA Single Specialty Past Accepting new patients

Locations

1316 N Yarbrough Dr
Ste 2A
El Paso, TX 79925
Phone (915) 240-5927

5959 Gateway Blvd W
Ste 501
El Paso, TX 79925
Phone (915) 373-6021

11163 La Quinta Pl
Ste B100
El Paso, TX 79936
Phone (915) 201-2606

9314 Juanchido Ln
Ysleta del Sur Pueblo, TX 79907
Phone (915) 858-1076

Organizations & group practices 9

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1821007113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 N YARBROUGH DR STE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257803",
            "telephone_number": "915-373-6021",
            "fax_number": "844-691-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 N YARBROUGH DR STE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257803",
            "telephone_number": "915-373-6021",
            "fax_number": "844-691-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "GRISELDA",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "25440",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "25440",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "25440",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1721474-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1721474-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.