Individual provider Active NPI

Carrie Michelle Neeley, MA, LPC, LCDC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1528612686
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78878 Issued in TX
Practice address
1846 N Loop 1604 W Ste 205
San Antonio, TX 78248-4541
Phone
(210) 965-9544
Fax
(210) 864-7593
NPI assigned
Jul 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 78878 TX Primary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X 46958 TX

Addresses

Primary practice location

1846 N Loop 1604 W Ste 205
San Antonio, TX 78248-4541

Mailing address

1846 N Loop 1604 W
Suite 205 #1022
San Antonio, TX 78248-4541
Phone (210) 965-9544

Other practice location 1

4203 Gardendale St Ste C214
San Antonio, TX 78229-3174
Phone (210) 965-9544

Other identifiers 1

IdentifierTypeStateIssuer
402958901MedicaidTX

Other names 1

  • Carrie Baldini 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
I20240515001888 TX Practitioner - Mental Health Counselor 1557702040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4203 Gardendale St
Suite C214
San Antonio, TX 78229-3174
Phone (210) 965-9544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1528612686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 N LOOP 1604 W",
            "address_2": "SUITE 205 #1022",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782484541",
            "telephone_number": "210-965-9544",
            "fax_number": "210-864-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 N LOOP 1604 W STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782484541",
            "telephone_number": "210-965-9544",
            "fax_number": "210-864-7593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4203 Gardendale St Ste C214",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293174",
            "country_code": "US",
            "telephone_number": "210-965-9544",
            "fax_number": "210-864-7593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELEY",
        "first_name": "CARRIE",
        "middle_name": "MICHELLE",
        "credential": "MA, LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-27",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78878",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "46958",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402958901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "BALDINI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.