Individual provider Active NPI

Alicia Kaveney, LPC, LCDC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1346706710
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
76453 Issued in TX
Practice address
2501 W William Cannon Dr BLDG 4
Austin, TX 78745-5281
Phone
(512) 804-3687
Fax
(512) 476-0217
NPI assigned
Feb 11, 2019
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14766 TX
Professional Counselor 101YP2500X 76453 TX Primary

Addresses

Primary practice location

2501 W William Cannon Dr BLDG 4
Austin, TX 78745-5281

Mailing address

1430 Collier St
Austin, TX 78704-2911
Phone (512) 472-4357

Other names 1

  • Alicia Munguia Former name

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
I20240105001724 TX Practitioner - Mental Health Counselor 1153772959 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

Practice addresses (Care Compare)

5015 S Ih
Suite 35
Austin, TX 78744-2701
Phone (512) 472-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14766TXMDAddiction (Substance Use Disorder) Counselor
76453TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Jan 1, 2024 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

1165 Airport Blvd
Austin, TX 78702
Phone (512) 703-1358

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

2501 W William Cannon Dr
Bldg 4
Austin, TX 78745
Phone (512) 804-3200

5015 S Interstate 35
Austin, TX 78744
Phone (512) 703-1392

Organizations & group practices 2

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": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1346706710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 COLLIER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042911",
            "telephone_number": "512-472-4357",
            "fax_number": "512-703-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR BLDG 4",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455281",
            "telephone_number": "512-804-3687",
            "fax_number": "512-476-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVENEY",
        "first_name": "ALICIA",
        "credential": "LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14766",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "MUNGUIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.