Johanna Isela Trevino

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

75119 Issued in TX

Practice address

4301 Westbank Dr Ste A250
Austin, TX 78746-4479

Phone

(877) 504-8504

Fax

(855) 420-6402

NPI assigned

Nov 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: johanna.trevino.1@25899.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Helping Hand Home for Children

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Austin, TX
  • NPI 1902029200
  NPD (past)
• Whitefields Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, TX
  • NPI 1366188039
  NPD (past)

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1013486133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E VILLARREAL ST",
            "city": "FALFURRIAS",
            "state": "TX",
            "postal_code": "783555041",
            "telephone_number": "362-563-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 WESTBANK DR STE A250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464479",
            "telephone_number": "877-504-8504",
            "fax_number": "855-420-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "JOHANNA",
        "middle_name": "ISELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75119",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Trevino, RD
• Emily Lucianne Trevino
• Jacquelyn K Trevino, LMSW
• Jessica Trevino, LMT
• Jessica Marie Trevino, M.D.
• Jonathan Trevino, LPC
• Kayla Trevino, MS, RD, LD
• Leslie Trevino
• Marlene Trevino
• Mikayla Alexis Trevino, PT-ASSISTANT

• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.