Individual provider Active NPI

Rosalie Piedra, LPC, RPT, NCC

  • Mental Health Counselor
  • Manchaca, TX
National Provider Identifier
1457901605
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
76763 Issued in TX
Practice address
1715 FM 1626 Ste 102
Manchaca, TX 78652-3549
Phone
(512) 280-5315
NPI assigned
Sep 18, 2019
Last updated
Sep 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 76763 TX Primary

Addresses

Primary practice location

1715 FM 1626 Ste 102
Manchaca, TX 78652-3549

Mailing address

1715 FM 1626 Ste 102
Manchaca, TX 78652-3549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 19, 2024 through Mar 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
76763TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Connections Counseling PLLC Mental Health CurrentSince Feb 25, 2024 Accepting new patients
South Austin Counseling Services, LLC PastSince Sep 25, 2019 Accepting new patients
A New View Counseling and Psychological Services Mental Health PastSince Sep 25, 2019 Accepting new patients

Locations

8700 Menchaca Rd
Ste 704
Austin, TX 78748
Phone (737) 291-9110

Organizations & group practices 3

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": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1457901605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 FM 1626 STE 102",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786523549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 FM 1626 STE 102",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786523549",
            "telephone_number": "512-280-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEDRA",
        "first_name": "ROSALIE",
        "name_prefix": "Mrs.",
        "credential": "LPC, RPT, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchaca, TX

Sources for this page

Verify at the official NPI Registry.