Active NPI
Beatriz Trevino, MA VR COUNSELOR
- Addiction (Substance Use Disorder) Counselor
- South Padre Island, TX
National Provider Identifier
1972244788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 54999
- Practice address
- 4405 Padre Blvd
South Padre Island, TX 78597-7324 - Phone
- (844) 820-7391
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 54999 | TX | Primary |
Addresses
Primary practice location
4405 Padre Blvd
South Padre Island, TX 78597-7324
Mailing address
34 Crownridge Dr
Brownsville, TX 78521
Phone (956) 561-1433
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54999 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1972244788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 CROWNRIDGE DR",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "78521",
"telephone_number": "956-561-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 PADRE BLVD",
"city": "SOUTH PADRE ISLAND",
"state": "TX",
"postal_code": "785977324",
"telephone_number": "844-820-7391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "BEATRIZ",
"name_prefix": "Mrs.",
"credential": "MA VR COUNSELOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "54999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Padre Island, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.