Infinite Potential Functional Mental Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INFINITE POTENTIAL FUNCTIONAL MENTAL HEALTH LLC

Doing business as

Infinite Potential

Practice address

1000 Gattis School Rd Ste 410
Round Rock, TX 78664-2569

Phone

(512) 230-3740

NPI assigned

Mar 21, 2025

Last updated

Jul 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary ParkerNPI 1871041061

Title

President

Phone

(512) 595-6651

Specialties & licenses 1

Addresses

Other names 1

• Infinite Potential Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Parker, LPC

  • Mental Health Counselor
  • Round Rock, TX
  • NPI 1871041061
  Medicare reassignment NPD Authorized official
• Christina Glarakis

  • Professional Counselor
  • Austin, TX
  • NPI 1033454939
  Medicare reassignment NPD
• Kathleen Van Tiem

  • Professional Counselor
  • Austin, TX
  • NPI 1437561941
  Medicare reassignment NPD
• Blanca Itzel Vela, LPC-S

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1013364611
  Medicare reassignment NPD

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1689475048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GATTIS SCHOOL RD STE 410",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642569",
            "telephone_number": "512-230-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GATTIS SCHOOL RD STE 410",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642569",
            "telephone_number": "512-230-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE POTENTIAL FUNCTIONAL MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-595-6651"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinite Potential",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Infinite Potential",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.