Individual provider Active NPI

Febe Sarai Fernandez, MA, LPC

  • Professional Counselor
  • Live Oak, TX
National Provider Identifier
1194240192
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75178 Issued in TX
Practice address
12702 Toepperwein Rd Ste 215
Live Oak, TX 78233-3250
Phone
(512) 537-4065
Fax
(512) 539-2881
NPI assigned
Aug 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 75178 TX
Professional Counselor 101YP2500X 75178 TX Primary

Addresses

Primary practice location

12702 Toepperwein Rd Ste 215
Live Oak, TX 78233-3250

Mailing address

PO Box 34477
San Antonio, TX 78265-4477
Phone (512) 537-4065

Other identifiers 2

IdentifierTypeStateIssuer
412180801MedicaidTX
1194492983OtherTXNPI 2

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
I20240228003180 TX Practitioner - Mental Health Counselor 7618312786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
75178TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Reset Space Counseling Solutions, PLLC Professional CurrentSince Feb 3, 2024 Accepting new patients

Locations

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

14603 Huebner Rd
Ste 3505
San Antonio, TX 78230
Phone (210) 615-5230

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": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1194240192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34477",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782654477",
            "telephone_number": "512-537-4065",
            "fax_number": "512-539-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 TOEPPERWEIN RD STE 215",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333250",
            "telephone_number": "512-537-4065",
            "fax_number": "512-539-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "FEBE",
        "middle_name": "SARAI",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75178",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412180801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2",
            "identifier": "1194492983",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.