Laura Leal Avila, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

36945 Issued in TX

Practice address

9500 Tioga Dr # a
San Antonio, TX 78230-3118

Phone

(210) 616-0828

Fax

(855) 616-0829

NPI assigned

Jun 21, 2006

Last updated

Mar 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wright Wellness PLLCGroup PAC ID 4082938410, 3 clinicians

Nueva Vida Behavioral Health Associates, IncGroup PAC ID 1052540176, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Nueva Vida Behavioral Health Associates,Inc

  • Professional Counselor
  • San Antonio, TX
  • NPI 1669565529
  Medicare reassignment Care Compare group NPD
• Wright Wellness PLLC

  • Clinical Psychologist
  • Arlington, TX
  • NPI 1992106561
  Medicare reassignment Care Compare group NPD
• Abiding Home Health of DFW, LLC

  • Home Health Agency
  • Austin, TX
  • NPI 1811980139
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1104862077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DEVON CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634890",
            "telephone_number": "815-985-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 TIOGA DR # A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303118",
            "telephone_number": "210-616-0828",
            "fax_number": "855-616-0829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13407 Thessaly",
            "address_purpose": "LOCATION",
            "city": "Universal City",
            "state": "TX",
            "postal_code": "781482813",
            "country_code": "US",
            "telephone_number": "815-985-8928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1398 W Mayfield Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152352",
            "country_code": "US",
            "telephone_number": "682-777-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILA",
        "first_name": "LAURA",
        "middle_name": "LEAL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006779",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Efrain Avila Jr., EDD, LPC, LCPC
• Estella Avila
• Evangelina L Avila
• Gerardo Avila, DPT
• Jeanette Avila, RN, BSN
• Maricela Avila
• Mary Jane Laceda Avila, FNP-C
• Shelly Avila
• Amy Aviles
• Erick Aviles

• Clinical Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.