Active NPI
Jose Palacios, LPC
- Professional Counselor
- Laredo, TX
National Provider Identifier
1881136372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 71600
- Practice address
- 1515 Pappas St
Laredo, TX 78041-1705 - Phone
- (956) 718-6259
- Fax
- (956) 718-6294
- NPI assigned
- Nov 15, 2016
- Sex
- Male
- 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 | 71600 | TX | Primary |
Addresses
Primary practice location
1515 Pappas St
Laredo, TX 78041-1705
Mailing address
1515 Pappas St
Laredo, TX 78041-1705
Phone (956) 718-6259
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Action Corporation of South Texas | Current | Accepting new patients | |
| Community Action Corporation of South Texas | Current | Accepting new patients | |
| Community Action Corporation of South Texas | Current | Accepting new patients |
Locations
700 Flournoy Rd
Ste 2A
Alice, TX 78332
Phone (361) 664-1417
204 E 1st St
Alice, TX 78332
Phone (361) 664-0145
301 S Hillside Dr
Ste 5
Beeville, TX 78102
Phone (361) 362-0307
Interoperability endpoints
- jose.palacios@cacost.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
dba Community Action Health Center
- Federally Qualified Health Center (FQHC)
- Alice, TX
- NPI 1063529642
-
- Federally Qualified Health Center (FQHC)
- Benavides, TX
- NPI 1609010131
-
- Federally Qualified Health Center (FQHC)
- Sarita, TX
- NPI 1639973910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1881136372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 PAPPAS ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780411705",
"telephone_number": "956-718-6259",
"fax_number": "956-718-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 PAPPAS ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780411705",
"telephone_number": "956-718-6259",
"fax_number": "956-718-6294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACIOS",
"first_name": "JOSE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-15",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "71600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.