Individual provider Active NPI

Xavbryelle Aasher Warren

  • Professional Counselor
  • Richardson, TX
National Provider Identifier
1639820681
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
86693 Issued in TX
Practice address
3501 N Jupiter Rd Apt 2a
Richardson, TX 75082-2214
Phone
(901) 921-2441
NPI assigned
Jan 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 86693 TX
Professional Counselor 101YP2500X 86693 TX Primary

Addresses

Primary practice location

3501 N Jupiter Rd Apt 2a
Richardson, TX 75082-2214

Mailing address

3501 N Jupiter Rd Apt 2a
Richardson, TX 75082-2214
Phone (901) 921-2441

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
I20240510003179 TX Practitioner - Mental Health Counselor 1658712492 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86693TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Provider Solutions PLLC CurrentSince Apr 8, 2025 Accepting new patients
Progressive Behavioral Health, PLLC Mental Health CurrentSince Jun 27, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 3, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

3050 Post Oak Blvd
Ste 510
Houston, TX 77056
Phone (832) 482-9603

24044 Cinco Village Center Blvd
Ste 100
Katy, TX 77494
Phone (713) 332-2788

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

4825 Alliance Blvd
Ste 150
Plano, TX 75093
Phone (469) 250-8007

Organizations & group practices 3

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1639820681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N JUPITER RD APT 2A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822214",
            "telephone_number": "901-921-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N JUPITER RD APT 2A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822214",
            "telephone_number": "901-921-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "XAVBRYELLE",
        "middle_name": "AASHER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86693",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.