VICTORIA SAN MIGUEL
NPI 1649126574
Marriage & Family Therapist in Odessa, TX

Active since March 04, 2026PECOS Enrolled
620 N GRANT AVE STE 500, ODESSA, TX 79761(432) 703-9616 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Victoria San Miguel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA SAN MIGUEL (NPI 1649126574) is an individual marriage & family therapist in Odessa, Texas, licensed in Texas (205216) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1649126574
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameVICTORIA SAN MIGUEL
Location Address620 N GRANT AVE STE 500Odessa, TX 79761-4503
Mailing Address620 N Grant Ave Ste 500Odessa, TX 79761-4503 · (432) 703-9616
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
NPI 1649126574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in TX · 205216
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
620 N GRANT AVE STE 500, Odessa, TX 79761

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Victoria San Miguel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305317314
PECOS Enrollment IDI20260609004720
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
620 N GRANT AVE STE 500
ODESSA, TX 79761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria San Miguel's NPI number?

The NPI number for Victoria San Miguel is 1649126574. It was assigned to this individual provider in the NPPES registry on March 4, 2026.

Where is Victoria San Miguel located?

Victoria San Miguel practices at 620 N Grant Ave Ste 500, Odessa, TX 79761. The listed phone number is (432) 703-9616.

What is Victoria San Miguel's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Victoria San Miguel enrolled in Medicare?

Yes. Victoria San Miguel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victoria San Miguel was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.