Organization Active NPI

Arise Counseling and Wellness PLLC.

  • Professional Counselor
  • Boerne, TX
National Provider Identifier
1306211560
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65759 Issued in TX
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Jessica Marie Calderon, LPCNPI 1326432162
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
344671805MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.