Active NPI
Ascension Counseling and Wellness Services, PLLC
- Professional Counselor
- Horizon City, TX
National Provider Identifier
1134423577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16481
- 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
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., LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12179275 | Other | TX | CAQH |
| 02985004 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & 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.