Individual provider Active NPI

Juan Carlos Etienne, LPC

  • Mental Health Counselor
  • El Paso, TX
National Provider Identifier
1841069218
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
90296 Issued in TX
Practice address
13740 Winford Ave
El Paso, TX 79928-2301
Phone
(915) 519-1540
NPI assigned
Dec 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 90296 TX Primary

Addresses

Primary practice location

13740 Winford Ave
El Paso, TX 79928-2301

Mailing address

13740 Winford Ave
El Paso, TX 79928-2301
Phone (915) 519-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20250114000215 TX Practitioner - Mental Health Counselor 0143758557 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90296TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Counseling Center of Expressive Arts PC CurrentSince Feb 14, 2025 Accepting new patients
Behavioral Health Associates of El Paso Mental Health CurrentSince Dec 1, 2024 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": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1841069218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13740 WINFORD AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799282301",
            "telephone_number": "915-519-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13740 WINFORD AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799282301",
            "telephone_number": "915-519-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "JUAN CARLOS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-27",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "90296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.