Individual provider Active NPI

Carol Reager Hale

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1184452948
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
85329 Issued in TX
Practice address
3515 Canyon Pkwy Apt 12201
San Antonio, TX 78259-2469
Phone
(210) 501-3060
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 85329 TX
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 85329 TX
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 85329 TX
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 85329 TX Primary

Addresses

Primary practice location

3515 Canyon Pkwy Apt 12201
San Antonio, TX 78259-2469

Mailing address

2507 Blue Quail St
San Antonio, TX 78232-4017
Phone (210) 501-3060

Other practice location 1

2507 Blue Quail St
San Antonio, TX 78232-4017
Phone (210) 501-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241112003402 TX Practitioner - Mental Health Counselor 1658805759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reset Space Counseling Solutions, PLLCGroup PAC ID 3577907021, 3 clinicians

Practice addresses (Care Compare)

12702 Toepperwein Rd
Suite 215
Live Oak, TX 78233-3250
Phone (512) 537-4065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
85329TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reset Space Counseling Solutions, PLLC Counselor CurrentSince Nov 22, 2024 Accepting new patients

Locations

12702 Toepperwein Rd
Ste 215
Live Oak, TX 78233
Phone (512) 537-4065

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1184452948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 BLUE QUAIL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324017",
            "telephone_number": "210-501-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 CANYON PKWY APT 12201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592469",
            "telephone_number": "210-501-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2507 Blue Quail St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782324017",
            "country_code": "US",
            "telephone_number": "210-501-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "CAROL",
        "middle_name": "REAGER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "85329",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "85329",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "85329",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.