Individual provider Active NPI

Socorro Maynez-Olmos, LPC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1992841878
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62661 Issued in TX
Practice address
125 Thunderbird Dr Ste J
El Paso, TX 79912-4563
Phone
(915) 422-8399
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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 62661 TX Primary

Addresses

Primary practice location

125 Thunderbird Dr Ste J
El Paso, TX 79912-4563

Mailing address

125 Thunderbird Dr Ste J
El Paso, TX 79912-4563
Phone (915) 422-8399

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
I20260427001155 TX Practitioner - Mental Health Counselor 8820565922 Practice locations: El Paso, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10201 Gateway Blvd W
Suite 210
El Paso, TX 79925-7647

125 Thunderbird Dr
Suite J
El Paso, TX 79912-4541

125 Thunderbird Dr
Suite J
El Paso, TX 79912-4563
Phone (915) 422-8399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62661TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nuevo Dia LLC Past Accepting new patients

Organizations & group practices 1

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1992841878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 THUNDERBIRD DR STE J",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124563",
            "telephone_number": "915-422-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 THUNDERBIRD DR STE J",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124563",
            "telephone_number": "915-422-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNEZ-OLMOS",
        "first_name": "SOCORRO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.