Timothy Mendoza, LPC-I

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

63831 Issued in TX

Practice address

2701 E Yandell Dr
El Paso, TX 79903-3726

Phone

(915) 562-1999

NPI assigned

Aug 27, 2009

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/epcgc/r4/

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.

• El Paso Child Guidance Center

  • Clinical Social Worker
  • El Paso, TX
  • NPI 1164755807
  NPD (past)
• El Paso Child Guidance Center Inc

  • Case Management Agency
  • El Paso, TX
  • NPI 1962519710

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1891928644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033726",
            "telephone_number": "915-562-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033726",
            "telephone_number": "915-562-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "TIMOTHY",
        "credential": "LPC-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63831",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0112241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirta Mendoza
• Olivia Mendoza
• Oscar G Mendoza III, AA
• Sandra Karina Mendoza
• Stephanie Mendoza, PMHNP-BC
• Victor Isaac Mendoza, LMT
• Victor Manuel Mendoza, LVN
• Yamel Mendoza
• Zaide Mendoza
• Gabrielle Marie Menendez, DO

• Professional Counselor in El Paso, TX
• Providers in El Paso, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.