Individual provider Active NPI

Mallela Ramirez, LPCC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1912749755
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
96857 Issued in TX
Practice address
7001 Westwind Dr Ste 108
El Paso, TX 79912-1777
Phone
(713) 504-2681
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CTB-2024-0161 NM
Professional Counselor 101YP2500X 96857 TX Primary

Addresses

Primary practice location

7001 Westwind Dr Ste 108
El Paso, TX 79912-1777

Mailing address

1605 George Dieter Dr Ste 636
El Paso, TX 79936-5600
Phone (915) 671-1371

Other practice location 1

12432 Angie Bombach Ave
El Paso, TX 79928-1737
Phone (915) 252-3280

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
I20241122000095 TX Practitioner - Mental Health Counselor 0143755579 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CTB-2024-0161NMMDMental Health Counselor
96857TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pupfish LLC Professional CurrentSince Nov 1, 2024 Accepting new patients

Locations

7001 Westwind Dr
Ste 108
El Paso, TX 79912
Phone (713) 504-2681

1605 George Dieter Dr
Ste 636
El Paso, TX 79936
Phone (915) 274-1617

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1912749755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GEORGE DIETER DR STE 636",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365600",
            "telephone_number": "915-671-1371",
            "fax_number": "915-219-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 WESTWIND DR STE 108",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121777",
            "telephone_number": "713-504-2681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12432 Angie Bombach Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799281737",
            "country_code": "US",
            "telephone_number": "915-252-3280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "MALLELA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2024-0161",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "96857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.