Individual provider Active NPI

Ginka V Vasileva, LMFT

  • Marriage & Family Therapist
  • Shenandoah, TX
National Provider Identifier
1083270599
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203331 Issued in TX
Practice address
256 Ed English Dr Ste C
Shenandoah, TX 77385-8028
Phone
(713) 992-5791
NPI assigned
May 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 203331 TX Primary

Addresses

Primary practice location

256 Ed English Dr Ste C
Shenandoah, TX 77385-8028

Mailing address

29827 S Legends Village Cir
Spring, TX 77386-2039
Phone (713) 992-5791

Other practice location 1

29827 S Legends Village Cir
Spring, TX 77386-2039
Phone (713) 992-5791

Other identifiers 1

IdentifierTypeStateIssuer
203331OtherTXTEXAS STATE BOARD OF EXAMINERS OF MARRIAGE AND FAMILY THERAPISTS

Other names 1

  • Guinka V Vasileva Professional name

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

State licenses

LicenseStateTypeSpecialty
203331TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1083270599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29827 S LEGENDS VILLAGE CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862039",
            "telephone_number": "713-992-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 ED ENGLISH DR STE C",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858028",
            "telephone_number": "713-992-5791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29827 S Legends Village Cir",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773862039",
            "country_code": "US",
            "telephone_number": "713-992-5791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASILEVA",
        "first_name": "GINKA",
        "middle_name": "V",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2022-02-01",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINERS OF MARRIAGE AND FAMILY THERAPISTS",
            "identifier": "203331",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUINKA",
            "last_name": "VASILEVA",
            "middle_name": "V",
            "credential": "MS., LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.