Organization Active NPI

Sustaining Grace Counseling, PLLC

  • Clinical Social Worker
  • Livingston, TX
National Provider Identifier
1548136252
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUSTAINING GRACE COUNSELING, PLLC
Practice address
2120 US Highway 190 W
Livingston, TX 77351-9602
Phone
(936) 277-7235
NPI assigned
Oct 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Authorized official

Name
Ava Tricianne Knebel, LCSWNPI 1811863525
Title
Authorized Official
Phone
(936) 239-7178

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2120 US Highway 190 W
Livingston, TX 77351-9602

Mailing address

2120 US Highway 190 W
Livingston, TX 77351-9602
Phone (936) 277-7235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260120004109 TX Part B Supplier - Clinic/Group Practice 8224515333 Receives reassigned benefits from 1 practitioner
Practice locations: Livingston, TX

National Provider Directory

National Provider Directory

Locations

2120 US Highway 190 W
Livingston, TX 77352
Phone (936) 239-7178

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": "1760140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760140800000",
    "number": "1548136252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 US HIGHWAY 190 W",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519602",
            "telephone_number": "936-277-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 US HIGHWAY 190 W",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519602",
            "telephone_number": "936-277-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSTAINING GRACE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A",
        "authorized_official_last_name": "KNEBEL",
        "authorized_official_first_name": "AVA",
        "authorized_official_middle_name": "TRICIANNE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "936-239-7178",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; 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.