Evergreen Journey Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EVERGREEN JOURNEY COUNSELING, PLLC

Practice address

1504 Leander Rd
Georgetown, TX 78628-8801

Phone

(512) 436-3797

NPI assigned

Sep 12, 2019

Organization subpart

No

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

Authorized official

Name

Claudia Yvette Ocampo, MS, LPC, NCC, RPT

Title

Manager

Phone

(512) 436-3797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1265082267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1341",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786271341",
            "telephone_number": "512-436-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 LEANDER RD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288801",
            "telephone_number": "512-436-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN JOURNEY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "OCAMPO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-436-3797",
        "authorized_official_credential": "MS, LPC, NCC, RPT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.