MEDICARE: ANGELINA ORTIZ MS, NCC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	86499	TX

General Provider Information

NPI Number	:	1043170756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELINA ORTIZ MS, NCC, LPC

Provider Business Mailing Address
First Line	:	13330 LEOPARD ST STE 20
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78410-4479
Country	:	US
Telephone Number	:	361-728-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	13330 LEOPARD ST STE 20
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78410-4479
Country	:	US
Telephone Number	:	361-728-5100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2025
Last Update Date	:	04/27/2026

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