Individual provider Active NPI

Laura Isela Molina

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1285143693
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4372 N Loop 1604 W Ste 106
San Antonio, TX 78249-1200
Phone
(888) 588-8995
NPI assigned
Sep 28, 2017
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 78251 TX
Professional Counselor 101YP2500X TX Primary

Addresses

Primary practice location

4372 N Loop 1604 W Ste 106
San Antonio, TX 78249-1200

Mailing address

10839 Royal BLF
San Antonio, TX 78239-1602
Phone (760) 793-5120

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
I20240819000763 TX Practitioner - Mental Health Counselor 8426596727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Layne Counseling, PLLCGroup PAC ID 6103924048, 3 clinicians

Practice addresses (Care Compare)

8637 Fredericksburg Rd
Suite 149
San Antonio, TX 78240-1218
Phone (210) 818-1707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
78251TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Layne Counseling, PLLC Professional CurrentSince Aug 1, 2024 Accepting new patients

Locations

3740 Colony Dr
Ste 122
San Antonio, TX 78230
Phone (210) 733-9929

8637 Fredericksburg Rd
Ste 149
San Antonio, TX 78240
Phone (210) 828-3737

Interoperability endpoints

  • Direct secure messaging: laura.molina.1@25119.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1285143693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10839 ROYAL BLF",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782391602",
            "telephone_number": "760-793-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4372 N LOOP 1604 W STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491200",
            "telephone_number": "888-588-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "LAURA",
        "middle_name": "ISELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78251",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.