Rhonda K Fousek, LPC

Key facts

NPI

1013922103

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

16861 (TX)

Practice address

1856 Evans Creek Rd
Vanderpool, TX 78885-0236

Phone

(830) 796-5533

Fax

(830) 966-5198

NPI assigned

Jul 29, 2006

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 29, 2024.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1013922103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "VANDERPOOL",
            "state": "TX",
            "postal_code": "788850236",
            "telephone_number": "830-796-5533",
            "fax_number": "830-966-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 EVANS CREEK RD",
            "city": "VANDERPOOL",
            "state": "TX",
            "postal_code": "788850236",
            "telephone_number": "830-796-5533",
            "fax_number": "830-966-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUSEK",
        "first_name": "RHONDA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141877403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "125202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7636153",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "83708L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}