Active NPI
Juan Olivera, MA, LPC, LCDC
- Professional Counselor
- Austin, TX
National Provider Identifier
1073108494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 82382
- Practice address
- 2021 Guadalupe St Ste 260
Austin, TX 78705-5654 - Phone
- (682) 337-3090
- NPI assigned
- Mar 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15657 | TX | |
| Professional Counselor | 101YP2500X | 82382 | TX | Primary |
Addresses
Primary practice location
2021 Guadalupe St Ste 260
Austin, TX 78705-5654
Mailing address
300 Trinity Campus Cir
Fort Worth, TX 76102-1964
Phone (682) 337-3090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15657 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 82382 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732406400000",
"number": "1073108494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 TRINITY CAMPUS CIR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761021964",
"telephone_number": "682-337-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 GUADALUPE ST STE 260",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787055654",
"telephone_number": "682-337-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERA",
"first_name": "JUAN",
"credential": "MA, LPC, LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-08",
"last_updated": "2024-11-24",
"certification_date": "2024-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "15657",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "82382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Madelyn Grace Oliver, DO
- Martha Suzanne Oliver, LCSW, CSW-G
- Michael Brian Oliver, MD
- Natalee Oliver
- Paula S. Oliver, M.D.
- Edith Jenissa Oliveras, M.D.
- Ana Oliveros Parra
- Monica Oliveto, M.D.
- Olivia Calder, MSN, Aprn, Pmhnp-BC, PLLC (Calder Psychotherapy & Psychiatry)
- Olivia Yun MD Family Medicine PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.