NPIMap

Organization Active NPI

El Paso Child Guidance Center Inc

  • Case Management Agency
  • El Paso, TX
National Provider Identifier
1962519710
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EL PASO CHILD GUIDANCE CENTER INC
Practice address
2701 E Yandell Dr
El Paso, TX 79903-3726
Phone
(915) 562-1999
Fax
(915) 562-1993
NPI assigned
Aug 25, 2006
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Ms. Cathy Gaytan, LCSW
Title
Executive Director
Phone
(915) 562-1999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

2701 E Yandell Dr
El Paso, TX 79903-3726

Mailing address

2701 E Yandell Dr
El Paso, TX 79903-3726
Phone (915) 562-1999

Other identifiers 2

IdentifierTypeStateIssuer
083713001MedicaidTX
00L340OtherTXBCBSTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210706000715 TX Part B Supplier - Clinic/Group Practice 2466854088 Receives reassigned benefits from 20 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

2211 E Missouri Ave
Ste 310
El Paso, TX 79903
Phone (915) 562-1999

9001 Cashew Dr
Ste 300
El Paso, TX 79907
Phone (915) 562-1999

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1962519710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033726",
            "telephone_number": "915-562-1999",
            "fax_number": "915-562-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033726",
            "telephone_number": "915-562-1999",
            "fax_number": "915-562-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO CHILD GUIDANCE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "GAYTAN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "915-562-1999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083713001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "00L340",
            "state": "TX"
        }
    ],
    "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 Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.