Individual provider Active NPI

Marianela Caballero, MED

  • Professional Counselor
  • Brownsville, TX
National Provider Identifier
1922123975
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
60251 Issued in TX
Practice address
2905 Central Blvd Ste C
Brownsville, TX 78520-3919
Phone
(956) 459-5776
Fax
(877) 492-8983
NPI assigned
Mar 20, 2007
Last updated
Jul 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 60251 TX Primary

Addresses

Primary practice location

2905 Central Blvd Ste C
Brownsville, TX 78520-3919

Mailing address

1504 Santa Ana Ave
Rancho Viejo, TX 78575-9728
Phone (956) 459-5776

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
60251TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1922123975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SANTA ANA AVE",
            "city": "RANCHO VIEJO",
            "state": "TX",
            "postal_code": "785759728",
            "telephone_number": "956-459-5776",
            "fax_number": "877-492-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 CENTRAL BLVD STE C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785203919",
            "telephone_number": "956-459-5776",
            "fax_number": "877-492-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "MARIANELA",
        "name_prefix": "Ms.",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.