Active NPI
Maria De Jesus Ortiz, M.A., LPC
- Professional Counselor
- El Paso, TX
National Provider Identifier
1932228699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 04684381
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 04684381 | TX | MD | Professional 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.