Individual provider Active NPI

Emily J Sousa, LPC, CEC

  • Professional Counselor
  • Wimberley, TX
National Provider Identifier
1376041350
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
93388 Issued in TX
Practice address
6 Cricket Holw
Wimberley, TX 78676-2220
Phone
(508) 818-7354
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 93388 TX Primary
Clinical Child & Adolescent Psychologist 103TC2200X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

6 Cricket Holw
Wimberley, TX 78676-2220

Mailing address

6 Cricket Holw
Wimberley, TX 78676-2220
Phone (508) 818-7354

Other practice location 1

1985 Fm 758
New Braunfels, TX 78130-6694
Phone (508) 818-7354

Other practice location 2

4908 Redwood Rd
San Marcos, TX 78666-3986
Phone (508) 818-7354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Opamen Practice PLLC Professional CurrentSince Jul 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1376041350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CRICKET HOLW",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786762220",
            "telephone_number": "508-818-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CRICKET HOLW",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786762220",
            "telephone_number": "508-818-7354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1985 Fm 758",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781306694",
            "country_code": "US",
            "telephone_number": "508-818-7354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4908 Redwood Rd",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786663986",
            "country_code": "US",
            "telephone_number": "508-818-7354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "EMILY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LPC, CEC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93388",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimberley, TX

Sources for this page

Verify at the official NPI Registry.