Individual provider Active NPI

Cassidy B. Tolopka, MA, LPC

  • Professional Counselor
  • Garden Ridge, TX
National Provider Identifier
1407516776
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82091 Issued in TX
Practice address
19115 FM 2252 Ste 15
Garden Ridge, TX 78266-2578
Phone
(210) 338-0191
NPI assigned
Dec 28, 2021
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 82091 TX
Professional Counselor 101YP2500X 0701013143 VA
Professional Counselor 101YP2500X 82091 TX Primary

Addresses

Primary practice location

19115 FM 2252 Ste 15
Garden Ridge, TX 78266-2578

Mailing address

15006 Winged Foot
Selma, TX 78154-1348
Phone (254) 482-1963

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
82091TXMDProfessional Counselor
0701013143VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Garden Christian Counseling Current Accepting new patients

Locations

19115 FM 2252
Ste 15
San Antonio, TX 78266
Phone (210) 338-0191

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, 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": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1407516776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15006 WINGED FOOT",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781541348",
            "telephone_number": "254-482-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19115 FM 2252 STE 15",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662578",
            "telephone_number": "210-338-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLOPKA",
        "first_name": "CASSIDY",
        "middle_name": "B.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82091",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013143",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82091",
            "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 Jan 10, 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.

Verify at the official NPI Registry.