Active NPI
Brittany Avila
- Professional Counselor
- Garden Ridge, TX
National Provider Identifier
1346061264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 94531
- Practice address
- 19115 FM 2252
Garden Ridge, TX 78266-2577 - Phone
- (210) 757-3150
- NPI assigned
- Oct 23, 2024
- Last updated
- Oct 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 94531 | TX | Primary |
Addresses
Primary practice location
19115 FM 2252
Garden Ridge, TX 78266-2577
Mailing address
14546 Brook Hollow Blvd # 101
San Antonio, TX 78232-3810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94531 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1346061264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14546 BROOK HOLLOW BLVD # 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19115 FM 2252",
"city": "GARDEN RIDGE",
"state": "TX",
"postal_code": "782662577",
"telephone_number": "210-757-3150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "BRITTANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "94531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Ridge, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.