Laura Jo Avina, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18902 Issued in TX

Practice address

4606 Centerview Ste 185
San Antonio, TX 78228-1230

Phone

(210) 675-0066

Fax

(210) 618-0324

NPI assigned

Dec 21, 2006

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Laura Jo Avina Other name

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

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Family Life Counseling, LLC

  dba Laura Avina

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1386154086
  Authorized official Same address or phone

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1316001290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MARY LOUISE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782014422",
            "telephone_number": "210-544-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 CENTERVIEW STE 185",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281230",
            "telephone_number": "210-675-0066",
            "fax_number": "210-618-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVINA",
        "first_name": "LAURA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "S18902",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "18902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "AVINA",
            "middle_name": "JO",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jaime Aviles
• Natalia Aviles
• Sandra R Aviles, MD
• Stephanie Anne Aviles, CPNP-PC
• Isabella Avina
• Vanessa Avina, PH.D.
• Avita Drugs, LLC (Avita Pharmacy 1077)
• Avita Drugs, LLC
• Avorio Health Services Inc
• Avp Dental PC (Sa Family Dentist)

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.