Active NPI
Melissa Diaz, LPC-A
- Mental Health Counselor
- Brownsville, TX
National Provider Identifier
1952146003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 95388
- Practice address
- 355 Palm Blvd
Brownsville, TX 78520-5431 - Phone
- (956) 410-2802
- NPI assigned
- Jun 29, 2024
- Last updated
- Jun 29, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 95388 | TX | Primary |
Addresses
Primary practice location
355 Palm Blvd
Brownsville, TX 78520-5431
Mailing address
74 Cortez Ave
Rancho Viejo, TX 78575-9627
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95388 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Spark Counseling | Mental Health | Current | Accepting new patients |
Locations
355 Palm Blvd
Brownsville, TX 78520
Phone (956) 410-2802
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": "1719619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719619200000",
"number": "1952146003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 CORTEZ AVE",
"city": "RANCHO VIEJO",
"state": "TX",
"postal_code": "785759627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 PALM BLVD",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785205431",
"telephone_number": "956-410-2802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "MELISSA",
"credential": "LPC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-29",
"last_updated": "2024-06-29",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "95388",
"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 Jun 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.