Individual provider Active NPI

Faye Acocks Hallford, LCSW

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1275671836
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
08668 Issued in TX
Practice address
10615 Perrin Beitel Rd Ste 406
San Antonio, TX 78217-3141
Phone
(210) 946-2273
Fax
(210) 637-1756
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 08668 TX Primary

Addresses

Primary practice location

10615 Perrin Beitel Rd Ste 406
San Antonio, TX 78217-3141

Mailing address

10615 Perrin Beitel #406
San Antonio, TX 78217
Phone (210) 946-2273

Other identifiers 1

IdentifierTypeStateIssuer
108165502MedicaidTX

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
I20040618000402 TX Practitioner - Clinical Social Worker 2961487665 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3030 Nacogdoches
Suite 120
San Antonio, TX 78217

3030 Nacogdoches Rd
Suite 120
San Antonio, TX 78217-4502
Phone (210) 865-0833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08668TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Vida Counseling PLLC PastSince Sep 10, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1275671836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 PERRIN BEITEL #406",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-946-2273",
            "fax_number": "210-637-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 PERRIN BEITEL RD STE 406",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173141",
            "telephone_number": "210-946-2273",
            "fax_number": "210-637-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLFORD",
        "first_name": "FAYE",
        "middle_name": "ACOCKS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "08668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108165502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.