Individual provider Active NPI

Ediberto Reyes Jr., LPC

  • Professional Counselor
  • Edinburg, TX
National Provider Identifier
1992353528
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78990 Issued in TX
Practice address
3118 Center Point Dr Ste 3
Edinburg, TX 78539
Phone
(956) 687-8000
Fax
(956) 687-8009
NPI assigned
Aug 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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 78990 TX Primary

Addresses

Primary practice location

3118 Center Point Dr Ste 3
Edinburg, TX 78539

Mailing address

214 N 16TH St Ste 124
McAllen, TX 78501-7984
Phone (956) 778-8747

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

LicenseStateTypeSpecialty
78990TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aer Counseling and Consulting, PLLC Professional CurrentSince Feb 13, 2022 Accepting new patients
Professional Counseling Services,PLLC Professional PastSince Nov 10, 2019 Accepting new patients

Locations

214 N 16th St
Ste 205
McAllen, TX 78501

214 N 16th St
Ste 124
McAllen, TX 78501
Phone (956) 778-8747

Organizations & group practices 2

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1992353528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N 16TH ST STE 124",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785017984",
            "telephone_number": "956-778-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 CENTER POINT DR STE 3",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-687-8000",
            "fax_number": "956-687-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "EDIBERTO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.