NPIMap

Organization Active NPI

Olive Branch Counseling and Training, PLLC

  • Professional Counselor
  • Boerne, TX
National Provider Identifier
1013307966
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70073 Issued in TX
Legal business name
OLIVE BRANCH COUNSELING AND TRAINING, PLLC
Practice address
31320 Interstate 10 W
Suite E
Boerne, TX 78006-5027
Phone
(210) 564-4310
Fax
(830) 775-2369
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Amy Wilson, MA, LPC
Title
Owner
Phone
(210) 564-4310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 70073 TX Primary

Addresses

Primary practice location

31320 Interstate 10 W
Suite E
Boerne, TX 78006-5027

Mailing address

31320 Interstate 10 W
Suite E
Boerne, TX 78006-5027
Phone (210) 564-4310

National Provider Directory

National Provider Directory

Locations

31320 Interstate 10 W
Ste E
Boerne, TX 78006
Phone (210) 564-4310

114 S Blackburn St
Brady, TX 76825
Phone (210) 396-7609

34910 Interstate 10 W
Ste 501
Fair Oaks, TX 78006

12274 Bandera Rd
Ste 101
Helotes, TX 78023
Phone (210) 396-7609

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1013307966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31320 INTERSTATE 10 W",
            "address_2": "SUITE E",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065027",
            "telephone_number": "210-564-4310",
            "fax_number": "830-775-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31320 INTERSTATE 10 W",
            "address_2": "SUITE E",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065027",
            "telephone_number": "210-564-4310",
            "fax_number": "830-775-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH COUNSELING AND TRAINING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-564-4310",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.