Individual provider Active NPI

Victoria Flis, MA, NCC, LPC

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1285093005
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
76777 Issued in TX
Practice address
3513 Black Granite Dr
Austin, TX 78744-3333
Phone
(512) 893-5594
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0020863 CO
Mental Health Counselor 101YM0800X 11241-125 WI
Mental Health Counselor 101YM0800X PRC200001946 DC
Mental Health Counselor 101YM0800X 37PC01018100 NJ
Mental Health Counselor 101YM0800X 76777 TX Primary

Addresses

Primary practice location

3513 Black Granite Dr
Austin, TX 78744-3333

Mailing address

3513 Black Granite Dr
Austin, TX 78744-3333
Phone (512) 893-5594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CO, WI, DC, TX5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20240912000016 NJ Practitioner - Mental Health Counselor 9638619000 Reassigns benefits to 1 organization
I20241118003906 CO Practitioner - Mental Health Counselor 9638619000 Reassigns benefits to 1 organization
I20241121000545 WI Practitioner - Mental Health Counselor 9638619000 Reassigns benefits to 1 organization
I20250220002246 DC Practitioner - Mental Health Counselor 9638619000 Reassigns benefits to 1 organization
I20260604001290 TX Practitioner - Mental Health Counselor 9638619000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13359 N Hwy 183
Suite 406 685
Austin, TX 78750-7153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0020863COMDMental Health Counselor
76777TXMDMental Health Counselor
11241-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
National Deaf Therapy Mental Health CurrentSince Aug 6, 2024 Accepting new patients

Locations

1942 Broadway
Ste 314C
Boulder, CO 80302
Phone (719) 203-1465

1717 N St NW
Ste 1
Washington, DC 20036
Phone (202) 519-8867

5900 Balcones Dr
Ste 100
Austin, TX 78731

13359 N Highway 183
Ste 406685
Austin, TX 78750

2800 E Enterprise Ave
Ste 333
Appleton, WI 54913
Phone (630) 687-0455

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": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1285093005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 BLACK GRANITE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787443333",
            "telephone_number": "512-893-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 BLACK GRANITE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787443333",
            "telephone_number": "512-893-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIS",
        "first_name": "VICTORIA",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0020863",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11241-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC200001946",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01018100",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.