Active NPI
Arise Counseling and Wellness PLLC.
- Professional Counselor
- Boerne, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 65759
- Legal business name
- ARISE COUNSELING AND WELLNESS PLLC.
- Practice address
- 109 Enterprise Pkwy Ste 203
Boerne, TX 78006-8636 - Phone
- (512) 766-3579
- NPI assigned
- Dec 14, 2015
- Last updated
- Mar 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Marie Calderon, LPC
- Title
- Licensed Professional Counselor
- Phone
- (512) 766-3579
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 65759 | TX | Primary |
Addresses
Primary practice location
109 Enterprise Pkwy Ste 203
Boerne, TX 78006-8636
Mailing address
109 Enterprise Pkwy Ste 203
Boerne, TX 78006-8636
Phone (512) 766-3579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344671805 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
109 Enterprise Pkwy
Ste 203
Boerne, TX 78006
Phone (512) 766-3579
136 Old San Antonio Rd
Ste 103
Boerne, TX 78006
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Boerne, TX
- NPI 1326432162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679616000000",
"number": "1306211560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 ENTERPRISE PKWY STE 203",
"city": "BOERNE",
"state": "TX",
"postal_code": "780068636",
"telephone_number": "512-766-3579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 ENTERPRISE PKWY STE 203",
"city": "BOERNE",
"state": "TX",
"postal_code": "780068636",
"telephone_number": "512-766-3579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARISE COUNSELING AND WELLNESS PLLC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-14",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A",
"authorized_official_last_name": "CALDERON",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "512-766-3579",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "65759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "344671805",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.