Individual provider Active NPI

Carissma Tempest Hughes Valentine, LCSW-S, DSW

  • Clinical Social Worker
  • Schertz, TX
National Provider Identifier
1134767171
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
62119 Issued in TX
Practice address
1029 Gate Creek LN
Schertz, TX 78154-2823
Phone
(210) 505-9140
NPI assigned
Dec 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 62119 TX Primary

Addresses

Primary practice location

1029 Gate Creek LN
Schertz, TX 78154-2823

Mailing address

1029 Gate Creek LN
Schertz, TX 78154-2823
Phone (210) 505-9140

Other names 1

  • Mrs. Carissma Tempest Hughes-Mendez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200708001668 TX Practitioner - Clinical Social Worker 9436572534 Reassigns benefits to 2 organizations
I20240528000324 TX Practitioner - Mental Health Counselor 9436572534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beyond the Gray Sky LLCGroup PAC ID 1759722606, 4 clinicians
Alaniz Counseling and Behavioral Center PCGroup PAC ID 0648596924, 57 clinicians

Practice addresses (Care Compare)

1700 Covemeadow Dr
Arlington, TX 76012-5407
Phone (903) 316-0472

5522 Lone Star Pkwy
Suite 303
San Antonio, TX 78253-6722
Phone (210) 614-4990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond the Gray Sky LLC CurrentSince May 18, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Feb 10, 2023 Accepting new patients
Vcounselors PLLC Professional CurrentSince Apr 22, 2024 Accepting new patients
Obsidian Counseling Services PLLC Clinical CurrentSince Feb 7, 2021 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. Professional CurrentSince Apr 22, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1134767171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 GATE CREEK LN",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542823",
            "telephone_number": "210-505-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 GATE CREEK LN",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542823",
            "telephone_number": "210-505-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES VALENTINE",
        "first_name": "CARISSMA",
        "middle_name": "TEMPEST",
        "name_prefix": "Mrs.",
        "credential": "LCSW-S, DSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSMA",
            "last_name": "HUGHES-MENDEZ",
            "middle_name": "TEMPEST",
            "prefix": "MRS.",
            "credential": "LCSW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.