Organization Active NPI

Kaizen Elite Performance Counseling PLLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1487344917
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KAIZEN ELITE PERFORMANCE COUNSELING PLLC
Practice address
17806 W Interstate 10 Ste 300
San Antonio, TX 78257-8222
Phone
(210) 636-1550
NPI assigned
May 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Dr. Tritia M Finley, PHD, NCC, LPC-SNPI 1821667692
Title
Chief Executive Officer
Phone
(210) 636-1550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

17806 W Interstate 10 Ste 300
San Antonio, TX 78257-8222

Mailing address

17806 W Interstate 10 Ste 300
San Antonio, TX 78257-8222
Phone (210) 636-1550

Other names 1

  • Elite Performance Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229000704 TX Part B Supplier - Clinic/Group Practice 9133564180 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1487344917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17806 W INTERSTATE 10 STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578222",
            "telephone_number": "210-636-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17806 W INTERSTATE 10 STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578222",
            "telephone_number": "210-636-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIZEN ELITE PERFORMANCE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "TRITIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "210-636-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, NCC, LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Performance Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Performance Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.