Individual provider Active NPI

Priscilla Rose Prasath, PH.D., LPC., GCSC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1679214837
Registry record updated Apr 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79135 Issued in TX
Practice address
11653 Galm Rd BLDG 2
San Antonio, TX 78254-9506
Phone
(210) 446-6454
NPI assigned
Apr 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 79135 TX Primary

Addresses

Primary practice location

11653 Galm Rd BLDG 2
San Antonio, TX 78254-9506

Mailing address

10234 Bricewood PL
San Antonio, TX 78254-1995
Phone (740) 818-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
79135TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Counseling, PLLC Professional Current Accepting new patients
Grit & Grace Counseling, PLLC Professional CurrentSince Apr 23, 2023 Accepting new patients

Locations

11653 Galm Rd
Bldg 2
San Antonio, TX 78254
Phone (210) 446-6454

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650067200000",
    "number": "1679214837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10234 BRICEWOOD PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782541995",
            "telephone_number": "740-818-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11653 GALM RD BLDG 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549506",
            "telephone_number": "210-446-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASATH",
        "first_name": "PRISCILLA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC., GCSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2022; 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.