Organization Active NPI

Liberate Counseling PLLC

  • Clinical Social Worker
  • Round Rock, TX
National Provider Identifier
1023880234
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIBERATE COUNSELING PLLC
Practice address
1311 Chisholm Trail Rd Ste 201
Round Rock, TX 78681-2969
Phone
(512) 593-6274
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Shayla Wilson
Title
Owner
Phone
(737) 293-7411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1311 Chisholm Trail Rd Ste 201
Round Rock, TX 78681-2969

Mailing address

2082 Highway 183 Ste 170
Leander, TX 78641-1789

National Provider Directory

National Provider Directory

Locations

2082 Highway 183
Ste 170
Leander, TX 78641
Phone (512) 815-0350

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1023880234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2082 HIGHWAY 183 STE 170",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786411789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 CHISHOLM TRAIL RD STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812969",
            "telephone_number": "512-593-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERATE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-293-7411"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.