Organization Active NPI

Another Vantage LLC

  • Mental Health Counselor
  • Fulshear, TX
National Provider Identifier
1124821012
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ANOTHER VANTAGE LLC
Practice address
4551 Jennings Creek CT
Fulshear, TX 77441-1923
Phone
(503) 577-6940
NPI assigned
Mar 28, 2025
Last updated
Mar 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Cassandra Trahan, LCSW, RN
Title
Owner
Phone
(503) 577-6940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4551 Jennings Creek CT
Fulshear, TX 77441-1923

Mailing address

4551 Jennings Creek CT
Fulshear, TX 77441-1923
Phone (503) 577-6940

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1124821012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 JENNINGS CREEK CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411923",
            "telephone_number": "503-577-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 JENNINGS CREEK CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411923",
            "telephone_number": "503-577-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER VANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "TRAHAN",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-577-6940",
        "authorized_official_credential": "LCSW, RN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.