Active NPI
Shirley Oliver, L.P.C.
- Professional Counselor
- San Marcos, TX
National Provider Identifier
1154783595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67018
- Practice address
- 1707 Aquarena Springs Dr
159
San Marcos, TX 78666-8268 - Phone
- (713) 578-0153
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 67018 | TX | Primary |
Addresses
Primary practice location
1707 Aquarena Springs Dr
159
San Marcos, TX 78666-8268
Mailing address
1707 Aquarena Springs Dr
159
San Marcos, TX 78666-8268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67018 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inmindout Emotional Wellness Center, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1154783595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 AQUARENA SPRINGS DR",
"address_2": "159",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786668268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 AQUARENA SPRINGS DR",
"address_2": "159",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786668268",
"telephone_number": "713-578-0153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "SHIRLEY",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.