Individual provider Active NPI

Silvana C Minuta, M.ED.

  • Counselor
  • The Woodlands, TX
National Provider Identifier
1861720104
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
63955 Issued in TX
Practice address
34 Gilmore Grove PL
The Woodlands, TX 77382-1635
Phone
(281) 681-0200
NPI assigned
Nov 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 63955 TX Primary

Addresses

Primary practice location

34 Gilmore Grove PL
The Woodlands, TX 77382-1635

Mailing address

34 Gilmore Grove PL
The Woodlands, TX 77382-1635
Phone (281) 681-0200

Other names 1

  • Ms. Silvana C Minuta-Vidal Other name

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
I20231203000020 TX Practitioner - Mental Health Counselor 2163870015 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63955TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Behavioral Healthcare CurrentSince Jan 1, 2024 Accepting new patients

Locations

233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151

706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102

Organizations & group practices 1

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": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1861720104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GILMORE GROVE PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821635",
            "telephone_number": "281-681-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GILMORE GROVE PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821635",
            "telephone_number": "281-681-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINUTA",
        "first_name": "SILVANA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "63955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SILVANA",
            "last_name": "MINUTA-VIDAL",
            "middle_name": "C",
            "prefix": "MS.",
            "credential": "M.ED.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.