Individual provider Active NPI

Aimee Monique Rhodes, LPC-S

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1508235839
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68851 Issued in TX
Practice address
11550 W Interstate 10 Ste 155
San Antonio, TX 78230-1035
Phone
(210) 201-4578
NPI assigned
Sep 16, 2015
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X 68851 TX Primary

Addresses

Primary practice location

11550 W Interstate 10 Ste 155
San Antonio, TX 78230-1035

Mailing address

538 Lively Dr
San Antonio, TX 78213-2809
Phone (903) 312-2818

Other practice location 1

538 Lively Dr
San Antonio, TX 78213-2809
Phone (903) 312-2818

Other identifiers 1

IdentifierTypeStateIssuer
349381903MedicaidTX

Other names 1

  • Aimee Hale Former name

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
I20240419002078 TX Practitioner - Mental Health Counselor 8820449267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Transform and Renew PLLCGroup PAC ID 9739530189, 3 clinicians

Practice addresses (Care Compare)

11550 W Interstate 10
Suite 155
San Antonio, TX 78230-1035
Phone (210) 201-4578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68851TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transform & Renew, PLLC Professional CurrentSince Mar 9, 2024 Accepting new patients
Hoverh Counselor Past Accepting new patients

Locations

11550 W Interstate 10
Ste 155
San Antonio, TX 78230
Phone (210) 201-4578

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, 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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1508235839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 LIVELY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132809",
            "telephone_number": "903-312-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 W INTERSTATE 10 STE 155",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301035",
            "telephone_number": "210-201-4578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "538 Lively Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782132809",
            "country_code": "US",
            "telephone_number": "903-312-2818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "AIMEE",
        "middle_name": "MONIQUE",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2024-01-26",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349381903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "HALE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.