Organization Active NPI

Purple Couch Counseling & Consulting PLLC

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1023650405
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PURPLE COUCH COUNSELING & CONSULTING PLLC
Practice address
4115 Medical Dr Ste 5207
San Antonio, TX 78229-5657
Phone
(210) 215-9955
NPI assigned
Oct 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Jessica Reynolds, LCSWNPI 1518443217
Title
Psychotherpist/Ceo
Phone
(210) 215-9955

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4115 Medical Dr Ste 5207
San Antonio, TX 78229-5657

Mailing address

8014 Lovela BND
San Antonio, TX 78254-4466

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL n/a
CONNECT URL N/A

National Provider Directory

National Provider Directory

Locations

4115 Medical Dr
Unit 502H
San Antonio, TX 78229

711 E Drexel Ave
San Antonio, TX 78210
Phone (210) 999-9851

4115 Medical Dr
Ste 502G
San Antonio, TX 78229
Phone (210) 215-9955

4115 Medical Dr
Ste 5207
San Antonio, TX 78229
Phone (210) 215-9955

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1023650405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 LOVELA BND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782544466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 MEDICAL DR STE 5207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295657",
            "telephone_number": "210-215-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE COUCH COUNSELING & CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PSYCHOTHERPIST/CEO",
        "authorized_official_telephone_number": "210-215-9955",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "address_1": "4115 Medical Dr Unit 502H",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782295657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "address_1": "4115 Medical Dr Ste 5207",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782295657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.