Individual provider Active NPI

Frank Pucar Jr.

  • Professional Counselor
  • Marble Falls, TX
National Provider Identifier
1992230692
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81459 Issued in TX
Practice address
606 Avenue J
Marble Falls, TX 78654-5146
Phone
(830) 693-0530
Fax
(830) 637-7438
NPI assigned
May 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11258 TX
Professional Counselor 101YP2500X 81459 TX Primary

Addresses

Primary practice location

606 Avenue J
Marble Falls, TX 78654-5146

Mailing address

1420 Kingfish Dr
Granite Shoals, TX 78654-1538
Phone (830) 637-0279

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
I20240219002763 TX Practitioner - Mental Health Counselor 5294179164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cari Foote Ma LPC LMFT and Associates PLLCGroup PAC ID 4789746876, 6 clinicians

Practice addresses (Care Compare)

606 Ave J
Marble Falls, TX 78654-5146
Phone (830) 693-0530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81459TXMDProfessional Counselor
11258TXMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cari Foote Ma LPC LMFT & Associates PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Metro Treatment of Texas LP Past Accepting new patients
Metro Treatment of Texas LP Past Accepting new patients

Locations

925 N Goliad St
Rockwall, TX 75087
Phone (214) 548-1220

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1992230692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 KINGFISH DR",
            "city": "GRANITE SHOALS",
            "state": "TX",
            "postal_code": "786541538",
            "telephone_number": "830-637-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 AVENUE J",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545146",
            "telephone_number": "830-693-0530",
            "fax_number": "830-637-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCAR",
        "first_name": "FRANK",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11258",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marble Falls, TX

Sources for this page

Verify at the official NPI Registry.