Valessa Ann Agosto, LPC
Individual provider Active NPI Professional Counselor · San Antonio, TX
NPI 1194509331 · NPPES record last updated Aug 26, 2023
Key facts
- NPI
- 1194509331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 84293 (TX)
- Practice address
- 21252 Gathering Oak Ste 106
San Antonio, TX 78260-3458 - Phone
- (830) 730-6090
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84293 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inmindout Emotional Wellness Center, LLC | Professional | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 84293 | TX | Yes |
Addresses
Primary practice location
21252 Gathering Oak Ste 106
San Antonio, TX 78260-3458
Mailing address
21252 Gathering Oak Ste 106
San Antonio, TX 78260-3458
Other providers in San Antonio, TX
- Aide Marie Agnew
- Joseph Agnew
- Sarah Agnew
- Faleigh Ann Agonis
- Julius Rodulfo Agorilla
- Waleska Agosto
- Ildiko Agoston
- Ashley Agpalza
- Jill Agre
- Genevive Agredano
All providers in San Antonio, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.