Individual provider Active NPI

Marie Mejia-Justice, LPC

  • Counselor
  • Big Spring, TX
National Provider Identifier
1891065926
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
64994 Issued in TX
Practice address
222 S Main St
Suite B
Big Spring, TX 79720-2519
Phone
(432) 393-5934
NPI assigned
Jan 5, 2012
Last updated
Jan 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 64994 TX Primary

Addresses

Primary practice location

222 S Main St
Suite B
Big Spring, TX 79720-2519

Mailing address

1219 S Moss Lake Rd
Big Spring, TX 79720-1066
Phone (432) 393-5934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64994TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1891065926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 S MOSS LAKE RD",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797201066",
            "telephone_number": "432-393-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S MAIN ST",
            "address_2": "SUITE B",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202519",
            "telephone_number": "432-393-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA-JUSTICE",
        "first_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "64994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.