The Conscious Creator Counseling

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

THE CONSCIOUS CREATOR COUNSELING

Practice address

1100 NW Loop 410 Ste 700
San Antonio, TX 78213-2258

Phone

(210) 843-6616

NPI assigned

May 27, 2022

Organization subpart

No

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

Authorized official

Name

Mary Jennifer Pearson, MS, LPCNPI 1942731518

Title

Owner/Clinical Director

Phone

(210) 843-6616

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

The Conscious Creator Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Conscious Creator Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Antonio, TX
  • NPI 1861262875
  NPD tax ID

Interoperability endpoints

• Direct secure messaging: jenniferp@theconsciouscreatorcounseling.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Pearson, MS, LPC-S

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1942731518
  NPD Authorized official

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1457090482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8126 SAWYER MDW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782546343",
            "telephone_number": "210-843-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW LOOP 410 STE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132258",
            "telephone_number": "210-843-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CONSCIOUS CREATOR COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "210-843-6616",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JenniferP@TheConsciousCreatorCounseling.com",
            "affiliation": "N",
            "endpointDescription": "self",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 NW Loop 410 Ste 700",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782132258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in San Antonio, TX
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.