Individual provider Active NPI

Marianna Vanillo Enriquez, M.S., LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1407569650
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
85918 Issued in TX
Practice address
11615 Angus Rd Ste 222
Austin, TX 78759-4066
Phone
(512) 537-5863
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 85918 TX Primary

Addresses

Primary practice location

11615 Angus Rd Ste 222
Austin, TX 78759-4066

Mailing address

25700 Interstate 45 # 4119
The Woodlands, TX 77386-1364

Other practice location 1

1011 Easy Cv
Hutto, TX 78634-5344
Phone (512) 537-5863

Other practice location 2

1717 W 10th St
Austin, TX 78703-3907
Phone (737) 990-9516

Other names 1

  • Maria Vanillo Enriquez Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://sweetunderstanding.clientsecure.me/sign-in Health Information Exchange (HIE)

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
I20250207003585 TX Practitioner - Mental Health Counselor 5991235772 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
85918TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center Professional CurrentSince Jan 28, 2025 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Jan 28, 2025 Accepting new patients

Locations

1717 W 10th St
Austin, TX 78703
Phone (512) 472-3142

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1407569650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25700 INTERSTATE 45 # 4119",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773861364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD STE 222",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594066",
            "telephone_number": "512-537-5863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Easy Cv",
            "address_purpose": "LOCATION",
            "city": "Hutto",
            "state": "TX",
            "postal_code": "786345344",
            "country_code": "US",
            "telephone_number": "512-537-5863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787033907",
            "country_code": "US",
            "telephone_number": "737-990-9516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANILLO ENRIQUEZ",
        "first_name": "MARIANNA",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "85918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://sweetunderstanding.clientsecure.me/sign-in",
            "affiliation": "N",
            "endpointDescription": "Client Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "API",
            "address_1": "1011 Easy Cv",
            "city": "Hutto",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786345344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "VANILLO ENRIQUEZ",
            "credential": "M.S., LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.