Elevated Counseling Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELEVATED COUNSELING SERVICES LLC

Practice address

1777 NE Loop 410 Ste 600-675
San Antonio, TX 78217-5209

Phone

(108) 644-9362

Fax

(239) 494-8397

NPI assigned

Jul 9, 2021

Organization subpart

No

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

Authorized official

Name

Ebony Portis, LCSWNPI 1902312515

Title

LCSW/Managing Member

Phone

(210) 864-4936

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ebony Portis, LCSW

  • Social Worker
  • San Antonio, TX
  • NPI 1902312515
  NPD Authorized official

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1619548625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17460 I-35 NORTH SUITE 430 378",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "78154",
            "telephone_number": "210-660-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 NE LOOP 410 STE 600-675",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175209",
            "telephone_number": "108-644-9362",
            "fax_number": "239-494-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-11-10",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "PORTIS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "LCSW/MANAGING MEMBER",
        "authorized_official_telephone_number": "210-864-4936",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Elenes, M.D.
• Elenita Usher MD PA
• Elevate Dental
• Elevate Home Lifts
• Elevate Wellness - Direct Primary Care, PLLC
• Elevated Home Care Agency LLC
• Elevation Anesthesia Services
• Elevation Home Health Care LLC
• Elevation Psychology PLLC
• Eleven Lac Inc

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.