Active NPI
Holistic Counseling LLC
- Clinical Social Worker
- Wimberley, TX
National Provider Identifier
1013555374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HOLISTIC COUNSELING LLC
- Practice address
- 200 E Inwood Forest Dr
Wimberley, TX 78676-5106 - Phone
- (512) 953-7382
- NPI assigned
- Dec 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eva Shaw
- Title
- LCSW
- Phone
- (512) 953-7382
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
200 E Inwood Forest Dr
Wimberley, TX 78676-5106
Mailing address
200 E Inwood Forest Dr
Wimberley, TX 78676-5106
Phone (512) 953-7382
Other practice location 1
4901 Richmond Ave Unit B
Austin, TX 78745-1838
Phone (512) 953-7382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418907 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Austin, TX
- NPI 1124421706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698969600000",
"number": "1013555374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E INWOOD FOREST DR",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786765106",
"telephone_number": "512-953-7382",
"fax_number": "855-648-9548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E INWOOD FOREST DR",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786765106",
"telephone_number": "512-953-7382"
}
],
"practiceLocations": [
{
"address_1": "4901 Richmond Ave Unit B",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787451838",
"country_code": "US",
"telephone_number": "512-953-7382",
"fax_number": "855-648-9548",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HOLISTIC COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-18",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "EVA",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "512-953-7382"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418907",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wimberley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.