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

Victoria San Miguel

Individual provider Marriage & Family Therapist · NPI 1649126574

Victoria San Miguel is a Marriage and Family Therapist in Odessa, Texas. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2026

Practice location Address checks out

620 N Grant Ave Ste 500
Odessa, TX 79761-4503
Phone: (432) 703-9616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 205216 (TX)

Record details

NPI number1649126574
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 4, 2026
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated