Individual provider Active NPI

Maria De Jesus Ortiz, M.A., LPC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1932228699
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
04684381 Issued in TX
Practice address
10935 Ben Crenshaw Dr Ste 100
El Paso, TX 79935-3039
Phone
(915) 599-2129
Fax
(915) 599-2129
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 04684381 TX Primary

Addresses

Primary practice location

10935 Ben Crenshaw Dr Ste 100
El Paso, TX 79935-3039

Mailing address

12130 Valley Quail Dr
El Paso, TX 79936-0934
Phone (915) 855-4563

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
I20240606003862 TX Practitioner - Mental Health Counselor 3779025697 Practice locations: El Paso, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
04684381TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932228699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12130 VALLEY QUAIL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360934",
            "telephone_number": "915-855-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 BEN CRENSHAW DR STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353039",
            "telephone_number": "915-599-2129",
            "fax_number": "915-599-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MARIA",
        "middle_name": "DE JESUS",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "04684381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.