Blooming Path, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

65961 Issued in TX

Legal business name

BLOOMING PATH, LLC

Doing business as

Daisy S Vergara, LPC

Practice address

306 E Main St
Ste# 102
Round Rock, TX 78664-5215

Phone

(512) 481-2452

Fax

(512) 535-5880

NPI assigned

Oct 3, 2011

Last updated

Oct 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daisy S Vergara, LPC

Title

Owner

Phone

(512) 481-2452

Specialties & licenses 1

Addresses

Other names 1

• Daisy S Vergara, LPC Doing business as

Locations

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1053695593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST",
            "address_2": "STE# 102",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645215",
            "telephone_number": "512-481-2452",
            "fax_number": "512-535-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST",
            "address_2": "STE# 102",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645215",
            "telephone_number": "512-481-2452",
            "fax_number": "512-535-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING PATH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-481-2452",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daisy S Vergara, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.