Individual provider Active NPI

Elizabeth Ruth Alwais, LPC#603089

  • Professional Counselor
  • San Marcos, TX
National Provider Identifier
1033434857
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63089 Issued in TX
Practice address
1901 Dutton Dr
Suite E
San Marcos, TX 78666-7573
Phone
(512) 396-7695
Fax
(512) 396-7633
NPI assigned
Apr 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LPC603089 TX
Professional Counselor 101YP2500X 63089 TX Primary

Addresses

Primary practice location

1901 Dutton Dr
Suite E
San Marcos, TX 78666-7573

Mailing address

1901 Dutton Dr
Suite E
San Marcos, TX 78666-7573
Phone (512) 396-7695

Other identifiers 1

IdentifierTypeStateIssuer
065337001MedicaidTX

Other names 1

  • Miss Elizabeth Ruth Bones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206002221 TX Practitioner - Mental Health Counselor 6608306568 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC603089TXMDAddiction (Substance Use Disorder) Counselor
63089TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C CurrentSince Jan 15, 2025 Accepting new patients
Hays Caldwell Council on Alcohol and Drugs Addiction (Substance Use Disorder) Past Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients

Locations

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1033434857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 DUTTON DR",
            "address_2": "SUITE E",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667573",
            "telephone_number": "512-396-7695",
            "fax_number": "512-396-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 DUTTON DR",
            "address_2": "SUITE E",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667573",
            "telephone_number": "512-396-7695",
            "fax_number": "512-396-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWAIS",
        "first_name": "ELIZABETH",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "LPC#603089",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "LPC603089",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065337001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BONES",
            "middle_name": "RUTH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.