Selina Guerra Villarreal, LPC, LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78644 Issued in TX

Practice address

7220 Building a Bob Bullock LP., Ste. 306
Laredo, TX 78041-7804

Phone

(956) 693-0567

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Border Region MH Mr Community Center

  • Psychiatry Physician
  • Laredo, TX
  • NPI 1124060173
  Medicare reassignment NPD

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1851058499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 MERLIN RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412836",
            "telephone_number": "956-693-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 BUILDING A BOB BULLOCK LP., STE. 306",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780417804",
            "telephone_number": "956-693-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "SELINA",
        "middle_name": "GUERRA",
        "name_prefix": "Mrs.",
        "credential": "LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12728",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa N Villarreal, QMHP
• Michelle Lorraine Villarreal, R.D.
• Oscar Villarreal
• Rebecca Villarreal
• Roberto Luis Villarreal, M.D.
• Stephanie Marie Villarreal
• Valerie Villarreal, MOT OTR
• Maria Elena Villarruel, LVN
• Villegas Medical Group
• Nicole Tomko Villegas, CRNA

• Professional Counselor in Laredo, TX
• Providers in Laredo, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.