Mary Whiting, LPCA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

88100 Issued in TX

Practice address

31320 Interstate 10 W Ste B
Boerne, TX 78006-5028

Phone

(210) 396-7609

Fax

(830) 755-2369

NPI assigned

Mar 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Olive Branch Counseling and Training, PLLC

  • Professional Counselor
  • Boerne, TX
  • NPI 1013307966
  NPD (past)

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1104573773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31320 INTERSTATE 10 W STE B",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065028",
            "telephone_number": "210-396-7609",
            "fax_number": "830-755-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31320 INTERSTATE 10 W STE B",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065028",
            "telephone_number": "210-396-7609",
            "fax_number": "830-755-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "MARY",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "88100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPCA",
            "identifier": "88100",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@olivebranchsa.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business Email",
            "address_1": "31320 Interstate 10 W Ste B",
            "city": "Boerne",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780065028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Wester
• Kathryn Elizabeth Whitacre
• Donna White
• Emily K White, PT, DPT
• Walden Shelby White, LPC
• Ian James Whitney, M.D.
• Kali Brianne Wieland, FNP-C
• Brittany Elizabeth Williams, DPT
• Emily S Williams, LPCA
• Monika Williams, LVN

• Counselor in Boerne, TX
• Providers in Boerne, TX by specialty
• Counselor in Texas

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