Organization Active NPI

Confero Psychotherapy, PLLC

  • Professional Counselor
  • Waco, TX
National Provider Identifier
1497985436
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63675 Issued in TX
Legal business name
CONFERO PSYCHOTHERAPY, PLLC
Practice address
1105 Wooded Acres Dr
Suite #270
Waco, TX 76710-4468
Phone
(254) 751-1164
Fax
(254) 751-1736
NPI assigned
Jul 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Authorized official

Name
Kim Upright, LPCNPI 1245460286
Title
Owner
Phone
(254) 751-1164

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 63675 TX Primary

Addresses

Primary practice location

1105 Wooded Acres Dr
Suite #270
Waco, TX 76710-4468

Mailing address

1105 Wooded Acres Dr
Suite #270
Waco, TX 76710-4468
Phone (254) 751-1164

National Provider Directory

National Provider Directory

Locations

1105 Wooded Acres Dr
Ste 270
Waco, TX 76710
Phone (254) 300-4116

Practitioners & affiliated clinicians

Practitioners 3

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": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1497985436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 WOODED ACRES DR",
            "address_2": "SUITE #270",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104468",
            "telephone_number": "254-751-1164",
            "fax_number": "254-751-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 WOODED ACRES DR",
            "address_2": "SUITE #270",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104468",
            "telephone_number": "254-751-1164",
            "fax_number": "254-751-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFERO PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "UPRIGHT",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-751-1164",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.