Organization Active NPI

Ascension Counseling and Wellness Services, PLLC

  • Professional Counselor
  • Horizon City, TX
National Provider Identifier
1134423577
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16481 Issued in TX
Legal business name
ASCENSION COUNSELING AND WELLNESS SERVICES, PLLC
Practice address
440 Royal Crown Rd
Horizon City, TX 79928-2112
Phone
(915) 227-4550
NPI assigned
Dec 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Mrs. Myra Lisette Hernandez, M.S., LPCNPI 1033322417
Title
Licensed Professional Counselor
Phone
(915) 227-4550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 16481 TX Primary

Addresses

Primary practice location

440 Royal Crown Rd
Horizon City, TX 79928-2112

Mailing address

440 Royal Crown Rd
Horizon City, TX 79928-2112
Phone (915) 227-4550

Other identifiers 2

IdentifierTypeStateIssuer
12179275OtherTXCAQH
02985004MedicaidTX

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.

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1134423577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 ROYAL CROWN RD",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799282112",
            "telephone_number": "915-227-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 ROYAL CROWN RD",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799282112",
            "telephone_number": "915-227-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION COUNSELING AND WELLNESS SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MYRA",
        "authorized_official_middle_name": "LISETTE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "915-227-4550",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12179275",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02985004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Horizon City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.