Active NPI
Revenir Counseling and Wellness, PLLC
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1407343759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 71606
- Legal business name
- REVENIR COUNSELING AND WELLNESS, PLLC
- Practice address
- 4131 Spicewood Springs Rd Ste H2
Austin, TX 78759 - Phone
- (901) 262-4577
- Fax
- (855) 765-7552
- NPI assigned
- Apr 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dixon J. Parnell, LPC
- Title
- Owner/Sole Practitioner
- Phone
- (901) 262-4577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 71606 | TX | Primary |
Addresses
Primary practice location
4131 Spicewood Springs Rd Ste H2
Austin, TX 78759
Mailing address
4131 Spicewood Springs Rd Ste H2
Austin, TX 78759-8659
Phone (901) 262-4577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71606 | Other | TX | TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS |
National Provider Directory
National Provider DirectoryLocations
4131 Spicewood Springs Rd
Ste H2
Austin, TX 78759
Phone (512) 343-1560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529884800000",
"number": "1407343759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD STE H2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598659",
"telephone_number": "901-262-4577",
"fax_number": "855-765-7552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD STE H2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78759",
"telephone_number": "901-262-4577",
"fax_number": "855-765-7552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVENIR COUNSELING AND WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-21",
"last_updated": "2018-06-25",
"status": "A",
"authorized_official_last_name": "PARNELL",
"authorized_official_first_name": "DIXON",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER/SOLE PRACTITIONER",
"authorized_official_telephone_number": "901-262-4577",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "71606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS",
"identifier": "71606",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.