Organization Active NPI

Reset Space Counseling Solutions, PLLC

  • Professional Counselor
  • Live Oak, TX
National Provider Identifier
1194492983
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RESET SPACE COUNSELING SOLUTIONS, PLLC
Practice address
12702 Toepperwein Rd Ste 215
Live Oak, TX 78233-3250
Phone
(512) 537-4065
Fax
(512) 539-2881
NPI assigned
Aug 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Ms. Febe Sarai Fernandez, MA, LPCNPI 1194240192
Title
Counselor
Phone
(512) 537-4065

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X

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
1194240192OtherTXNPI 1
412180801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240222004303 TX Part B Supplier - Clinic/Group Practice 3577907021 Receives reassigned benefits from 3 practitioners
Practice locations: Live Oak, TX

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1194492983",
    "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": {
        "organization_name": "RESET SPACE COUNSELING SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "FEBE",
        "authorized_official_middle_name": "SARAI",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "512-537-4065",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1194240192",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412180801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.