Elysium Behavioral Health, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ELYSIUM BEHAVIORAL HEALTH, PLLC

Practice address

7254 Blanco Rd Ste 204
San Antonio, TX 78216-4930

Phone

(210) 862-4956

Fax

(210) 941-0884

NPI assigned

Apr 17, 2019

Organization subpart

No

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

Authorized official

Name

Corrina Herrera, LPCNPI 1952734485

Title

Owner

Phone

(210) 862-4956

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Corrina Espinosa Herrera, M.S., LPC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1952734485
  NPD Authorized official

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1013570969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 DE ZAVALA RD STE 102",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782492083",
            "telephone_number": "210-862-4956",
            "fax_number": "210-941-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 BLANCO RD STE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164930",
            "telephone_number": "210-862-4956",
            "fax_number": "210-941-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIUM BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "CORRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-862-4956",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Sidney Elswood, L.P.T.
• Hanna Eltarzy, DDS
• Ayled Elvira Carbajal
• Rachel E. Ely, ACNP
• Elysian Hospice San Antonio LLC
• Elyte Surgical LLC
• Christa Elza
• Florence Emade
• Marissa S Emadi, MD
• Kendra Lachelle Emamali, RN

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.