Organization Active NPI

Aransas County Counseling and Educational Support Services Inc

Doing business as Access

  • Professional Counselor
  • Rockport, TX
National Provider Identifier
1235220054
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ARANSAS COUNTY COUNSELING AND EDUCATIONAL SUPPORT SERVICES INC
Doing business as
Access
Practice address
901 E Main St
Rockport, TX 78382-2632
Phone
(361) 729-0633
Fax
(361) 790-8527
NPI assigned
Sep 27, 2006
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Mrs. Candace Derrick
Title
Board President
Phone
(361) 729-0633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

901 E Main St
Rockport, TX 78382-2632

Mailing address

901 E Main St
Rockport, TX 78382-2632
Phone (361) 729-0633

Other identifiers 1

IdentifierTypeStateIssuer
081263801MedicaidTX

Other names 1

  • ACCESS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903000696 TX Part B Supplier - Clinic/Group Practice 7315486511 Receives reassigned benefits from 3 practitioners
Practice locations: Rockport, TX

National Provider Directory

National Provider Directory

Locations

802 E Main St
Rockport, TX 78382
Phone (361) 729-0633

901 E Main St
Rockport, TX 78382
Phone (361) 729-0633

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1235220054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E MAIN ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783822632",
            "telephone_number": "361-729-0633",
            "fax_number": "361-790-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E MAIN ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783822632",
            "telephone_number": "361-729-0633",
            "fax_number": "361-790-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARANSAS COUNTY COUNSELING AND EDUCATIONAL SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "DERRICK",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "361-729-0633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081263801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockport, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.