Eleven Eleven Counseling and Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ELEVEN ELEVEN COUNSELING AND WELLNESS

Practice address

4081 De Zavala Rd Ste 201
Shavano Park, TX 78249-2082

Phone

(210) 326-7202

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Cassandra Jean Ledezma, LPCNPI 1093494775

Title

Owner

Phone

(210) 326-7202

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cassandra Jean Ledezma, LPC

  • Mental Health Counselor
  • Shavano Park, TX
  • NPI 1093494775
  NPD Authorized official

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1255010948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 STAGECOACH BAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545904",
            "telephone_number": "210-326-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 DE ZAVALA RD STE 201",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782492082",
            "telephone_number": "210-326-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVEN ELEVEN COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "LEDEZMA",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-326-7202",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diaz Hospitalist Group PLLC
• Carlos Javier Diaz Velez, MD
• Carmen E Diaz, LPC
• Easy River Counseling and Wellness PLLC
• Wilson Irabor Ebhohon
• Evolve Wellness Center LLC
• Daniela Nazaret Fargason, MD
• Ferruzzi Psychiatric Services, PLLC
• Giancarlo Roberto Ferruzzi, MD
• Richard J Fetchick, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Shavano Park, TX
• Providers in Shavano Park, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.