Active NPI
Liberate Counseling PLLC
- Clinical Social Worker
- Round Rock, TX
National Provider Identifier
1023880234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 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 DirectoryLocations
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.