✓ Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor (101YP2500X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

BIBIANA PENA, LPC (NPI #1619810314)

Counselor, Professional • KRUM, TX • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1619810314
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
101YP2500X (CMS E2)
Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor
Box 32 Service Location & ZIP+4
1355 THOMAS J EGAN RD, KRUM, TX, 76249-7071
✓ 9-Digit EDI 837 ZIP+4 (76249-7071)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619810314 (BIBIANA PENA, LPC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1619810314 (NPI-1 Individual Practitioner)
Provider / Legal NameBIBIANA PENA, LPC
Plain-English SpecialtyLicensed & Credentialed Behavioral Health & Social Service Providers — Counselor
NUCC Code: 101YP2500X (Counselor, Professional)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address1355 THOMAS J EGAN RD, KRUM, TX, 76249-7071
Practice Telephone / FaxTel: (940) 442-3779
Administrative Mailing Address1355 THOMAS J EGAN RD, KRUM, TX, 76249-7071
Enumeration & Last SyncEnumerated: 2026-04-09 | CMS Record Updated: 2026-04-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1355 THOMAS J EGAN RD, KRUM, TX, 76249-7071

🗺️ Open in Google Maps 🏥 More Providers in KRUM

Plain-English Taxonomy & CMS Crosswalk (101YP2500X)

What Does Taxonomy Code 101YP2500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YP2500X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"

CMS-1500 Medicare Specialty Crosswalk: CMS Code E2 (Licensed Professional Counselor)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Professional for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BIBIANA PENA, LPC)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
101YP2500X — Counselor, Professional
Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor
State: TX | License: 90301 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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