Organization Active NPI

Aaverlee Clinical Associates

  • Clinical Social Worker
  • Corpus Christi, TX
National Provider Identifier
1043429830
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16509 Issued in TX
Legal business name
AAVERLEE CLINICAL ASSOCIATES
Doing business as
Aaverlee Clinical Associates
Practice address
4455 S Padre Island Dr
Suite 101
Corpus Christi, TX 78411-5101
Phone
(361) 814-2273
Fax
(361) 814-2274
NPI assigned
May 21, 2007
Last updated
Oct 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
James B PfeifferNPI 1063566701
Title
Owner
Phone
(361) 814-2273

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16509 TX Primary
Marriage & Family Therapist 106H00000X 3723 TX

Addresses

Primary practice location

4455 S Padre Island Dr
Suite 101
Corpus Christi, TX 78411-5101

Mailing address

PO Box 61274
Corpus Christi, TX 78466-1274
Phone (361) 814-2273

Other identifiers 2

IdentifierTypeStateIssuer
00S10TOtherTXBLUE CROSS BLUE SHIELD
119744403MedicaidTX

Other names 1

  • Aaverlee Clinical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201209000513 TX Part B Supplier - Clinic/Group Practice 2264844687 Receives reassigned benefits from 2 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory
Tax ID family
Aaverlee Clinical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4455 S Padre Island Dr
Ste 101
Corpus Christi, TX 78411
Phone (361) 814-2273

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1043429830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61274",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661274",
            "telephone_number": "361-814-2273",
            "fax_number": "361-814-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR",
            "address_2": "SUITE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115101",
            "telephone_number": "361-814-2273",
            "fax_number": "361-814-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAVERLEE CLINICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "PFEIFFER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-814-2273"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "16509",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "3723",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00S10T",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119744403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aaverlee Clinical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aaverlee Clinical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.