Individual provider Active NPI

Cynthia Marie Reyes, L.P.C.

  • Counselor
  • El Paso, TX
National Provider Identifier
1912281312
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
65388 Issued in TX
Practice address
9473 Socorro Rd
El Paso, TX 79907-5619
Phone
(915) 860-6170
NPI assigned
Oct 4, 2011
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 65388 TX Primary
Professional Counselor 101YP2500X 65388 TX

Addresses

Primary practice location

9473 Socorro Rd
El Paso, TX 79907-5619

Mailing address

1370 Pullman Dr # B
El Paso, TX 79936-7788
Phone (915) 433-5164

Other practice location 1

1370 Pullman Dr # B
El Paso, TX 79936-7788
Phone (915) 433-5164

Other identifiers 1

IdentifierTypeStateIssuer
284237901MedicaidTX

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
I20240417001560 TX Practitioner - Mental Health Counselor 5991144412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ysleta del Sur Pueblo Community Health CenterGroup PAC ID 7517055015, 8 clinicians

Practice addresses (Care Compare)

9473 Socorro Rd
El Paso, TX 79907-5619
Phone (915) 858-1076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65388TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ysleta del Sur Pueblo Community Health Center CurrentSince Mar 2, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1912281312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 PULLMAN DR # B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367788",
            "telephone_number": "915-433-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9473 SOCORRO RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799075619",
            "telephone_number": "915-860-6170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1370 Pullman Dr # B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799367788",
            "country_code": "US",
            "telephone_number": "915-433-5164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "65388",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284237901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.