Ana Liseth Ponciano, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

113154 Issued in TX

Practice address

100 N Central Expy Ste 503
Richardson, TX 75080-5361

Phone

(214) 531-7716

NPI assigned

Aug 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1144059569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY STE 503",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805361",
            "telephone_number": "214-531-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY STE 503",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805361",
            "telephone_number": "214-531-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCIANO",
        "first_name": "ANA",
        "middle_name": "LISETH",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "113154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maegan Pollack, LCSW
• Beau Dodd Polley
• Justin Kyler Pomeroy, D.C.
• Aimee D. Pompa, M.S.
• Justin Tai Pon, PHARMD
• Jeevanandam Ponnuswamy
• John A. Ponzo, M.D.
• Katelyn Emily Poojaroen, RBT
• Kasey Rogner Pool, OTR
• Poole Pediatrics, P.a.

• Mental Health Counselor in Richardson, TX
• Providers in Richardson, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.