Mineola Counseling Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

19952 Issued in TX

Legal business name

MINEOLA COUNSELING SERVICES

Practice address

620 E Broad St
Suite #9
Mineola, TX 75773-2622

Phone

(972) 832-8047

NPI assigned

Aug 9, 2016

Last updated

Aug 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ava N. Weaver, M.S.,NCC,LPCS

Title

Professional Counselor

Phone

(972) 832-8047

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1194279042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E BROAD ST",
            "address_2": "SUITE #9",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757732622",
            "telephone_number": "972-832-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E BROAD ST",
            "address_2": "SUITE #9",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757732622",
            "telephone_number": "972-832-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINEOLA COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "AVA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "972-832-8047",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.,NCC,LPCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles P McGonagill
• Craig McMullen, M.D.
• Metx, LLC
• Conner Miellmier
• Traci Layne Miller, RD
• Mineola Dental PLLC
• Mineola Healthcare LLC (Community Care Center Of Mineola)
• Mineola Independent School District
• Mineola Medical Center PLLC
• Mineola Nursing and Rehab Center (Mineola Healthcare Residence)

• Professional Counselor in Mineola, TX
• Providers in Mineola, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.