Individual provider Active NPI

Marina Elia Escobar, LPC

  • Professional Counselor
  • San Juan, TX
National Provider Identifier
1972124824
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79843 Issued in TX
Practice address
801 W 1St St
San Juan, TX 78589-2276
Phone
(956) 787-0787
Fax
(956) 787-2021
NPI assigned
May 1, 2020
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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 79843 TX Primary

Addresses

Primary practice location

801 W 1St St
San Juan, TX 78589-2276

Mailing address

3118 Center Point Dr Ste 3
Edinburg, TX 78539-4804
Phone (956) 687-8000

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
I20240724002028 TX Practitioner - Mental Health Counselor 3072059278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuestra Clinica del Valle, Inc.Group PAC ID 8921916552, 28 clinicians

Practice addresses (Care Compare)

801 W 1St St
San Juan, TX 78589-2276
Phone (956) 787-8915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nuestra Clinica del Valle, Inc. CurrentSince May 13, 2024 Accepting new patients
Nuestra Clinica del Valle, Inc. CurrentSince May 13, 2024 Accepting new patients
Professional Counseling Services,PLLC Professional PastSince Nov 1, 2020 Accepting new patients

Locations

1500 W 1st St
Mercedes, TX 78570
Phone (956) 565-3191

611 N Bryan Rd
Mission, TX 78572
Phone (956) 580-3303

801 W 1st St
San Juan, TX 78589
Phone (956) 787-0787

Organizations & group practices 3

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": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1972124824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 CENTER POINT DR STE 3",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394804",
            "telephone_number": "956-687-8000",
            "fax_number": "956-687-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 1ST ST",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892276",
            "telephone_number": "956-787-0787",
            "fax_number": "956-787-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "MARINA",
        "middle_name": "ELIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

Verify at the official NPI Registry.