Individual provider Active NPI

Christina Glarakis

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1033454939
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18518 Issued in TX
Practice address
4201 S Congress Ave Ste 202
Austin, TX 78745-1156
Phone
(512) 697-8586
NPI assigned
Dec 3, 2012
Last updated
Dec 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18518 TX Primary

Addresses

Primary practice location

4201 S Congress Ave Ste 202
Austin, TX 78745-1156

Mailing address

4201 S Congress Ave Ste 202
Austin, TX 78745-1156

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
I20250815002544 TX Practitioner - Mental Health Counselor 5698274769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1000 Gattis School Rd
Suite 410
Round Rock, TX 78664-3313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18518TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Potential Functional Mental Health LLC CurrentSince Jun 21, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1033454939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S CONGRESS AVE STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S CONGRESS AVE STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451156",
            "telephone_number": "512-697-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLARAKIS",
        "first_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.