Organization Active NPI

Four Corners Counseling, PLLC

  • Professional Counselor
  • Killeen, TX
National Provider Identifier
1194312322
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
FOUR CORNERS COUNSELING, PLLC
Practice address
1519 Florence Rd Ste 14
Killeen, TX 76541-7903
Phone
(254) 368-0633
Fax
(254) 294-2223
NPI assigned
Dec 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Ms. Angelia Hall, LPCNPI 1922655513
Title
LPC
Phone
(254) 368-0633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1519 Florence Rd Ste 14
Killeen, TX 76541-7903

Mailing address

PO Box 690642
Killeen, TX 76549-0011
Phone (254) 368-0633

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260211000367 TX Part B Supplier - Clinic/Group Practice 1153800040 Receives reassigned benefits from 1 practitioner
Practice locations: Killeen, TX

National Provider Directory

National Provider Directory

Locations

1519 Florence Rd
Ste 14
Killeen, TX 76541
Phone (254) 368-0633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1194312322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690642",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765490011",
            "telephone_number": "254-368-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 FLORENCE RD STE 14",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417903",
            "telephone_number": "254-368-0633",
            "fax_number": "254-294-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "254-368-0633",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.