Individual provider Active NPI

Laura Lizette Nale, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1215289640
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64987 Issued in TX
Practice address
8626 Tesoro Dr Ste 806
San Antonio, TX 78217-6217
Phone
(210) 281-5491
Fax
(210) 281-5433
NPI assigned
Oct 9, 2012
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64987 TX Primary

Addresses

Primary practice location

8626 Tesoro Dr Ste 806
San Antonio, TX 78217-6217

Mailing address

8626 Tesoro Dr Ste 806
San Antonio, TX 78217-6217
Phone (210) 281-5491

Other identifiers 1

IdentifierTypeStateIssuer
307445201MedicaidTX

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
I20240422000641 TX Practitioner - Mental Health Counselor 0941651871 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8626 Tesoro Dr
Suite 806
San Antonio, TX 78217-6217
Phone (210) 281-5491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64987TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1215289640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8626 TESORO DR STE 806",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176217",
            "telephone_number": "210-281-5491",
            "fax_number": "210-281-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8626 TESORO DR STE 806",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176217",
            "telephone_number": "210-281-5491",
            "fax_number": "210-281-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALE",
        "first_name": "LAURA",
        "middle_name": "LIZETTE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307445201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.