Emdr-Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMDR-COUNSELING PLLC

Practice address

18911 Hardy Oak Blvd
San Antonio, TX 78258-4967

Phone

(210) 239-9597

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Thomas Efird, LCSWNPI 1861589590

Title

Owner

Phone

(210) 239-9597

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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

• Thomas B Efird, MSW, LCSW, LCDC

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1861589590

  Clinical, TX

  Medicare reassignment NPD Authorized official
• Aaron Lee Grooms, AGPCNP

  • Gerontology Nurse Practitioner
  • San Antonio, TX
  • NPI 1619764578
  NPD
• John Emeakoroha, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pearland, TX
  • NPI 1821896945
  NPD (past)

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1013657261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9302 HAZELTON LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514742",
            "telephone_number": "210-239-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18911 HARDY OAK BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584967",
            "telephone_number": "210-239-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMDR-COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "EFIRD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-239-9597",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.

Verify at the official NPI Registry.