Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jose Angel Mendoza, LCDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1497339022

Jose Angel Mendoza, LCDC is a Mental Health Counselor in Dallas, Texas. Qualified in 2020, 6 years ago. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

4054 McKinney Ave Ste 102
Dallas, TX 75204-2050
Phone: (214) 520-6308
Fax: (214) 521-9172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 84859 (TX)

Record details

NPI number1497339022
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDC
Sole proprietorNo
NPI enumeratedMay 10, 2021
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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