Individual provider Active NPI

Rachel Lupercio

  • Marriage & Family Therapist
  • Austin, TX
National Provider Identifier
1104378488
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201861 Issued in TX
Practice address
13803 Ann PL
C/O Sol Healing & Wellness Center
Austin, TX 78728-7702
Phone
(888) 593-2081
NPI assigned
Nov 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 201861 TX Primary

Addresses

Primary practice location

13803 Ann PL
C/O Sol Healing & Wellness Center
Austin, TX 78728-7702

Mailing address

1614 Glenvalley Dr
Austin, TX 78723-1116
Phone (512) 228-8858

Other identifiers 1

IdentifierTypeStateIssuer
201861OtherTXLICENSE MARRIAGE & FAMILY THERAPIST

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
201861TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1104378488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 GLENVALLEY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231116",
            "telephone_number": "512-228-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13803 ANN PL",
            "address_2": "C/O SOL HEALING & WELLNESS CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787287702",
            "telephone_number": "888-593-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPERCIO",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE MARRIAGE & FAMILY THERAPIST",
            "identifier": "201861",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.