Individual provider Active NPI

Rigel Tenya Wymore, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1689965584
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
51345 Issued in TX
Practice address
1221 W Ben White Blvd Ste B300
Austin, TX 78704-7192
Phone
(877) 800-5722
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 51345 TX Primary

Addresses

Primary practice location

1221 W Ben White Blvd Ste B300
Austin, TX 78704-7192

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other practice location 1

4849 Calhoun Rd Ste 1001A
Houston, TX 77204-2192
Phone (877) 800-5722

Other practice location 2

1200 Binz St Ste 270
Houston, TX 77004-6925
Phone (877) 800-5722

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rigeltenya.wymore.p1@direct.lscctx.nextgenshare.com

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
I20110630000467 TX Practitioner - Clinical Social Worker 5294913802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51345TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care Clinical Current Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Lone Star Circle of Care CurrentSince Jun 2, 2022 Accepting new patients
Lone Star Circle of Care PastSince Jun 29, 2025 Accepting new patients
Bluebonnet Trails Community MHMR Center Clinical Past Accepting new patients

Locations

2423 Williams Dr
Ste 105
Georgetown, TX 78628

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

1200 Binz St
Ste 270
Houston, TX 77004
Phone 8778005722 ext. 556

2120 N Mays St
Ste 430
Round Rock, TX 78664
Phone (512) 255-5120

Interoperability endpoints

  • Direct secure messaging: rigelwymore@tdh.allscriptsdirect.net
  • Direct secure messaging: rigel.wymore.1@29821.direct.athenahealth.com

Organizations & group practices 5

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1689965584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE B300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047192",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4849 Calhoun Rd Ste 1001A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "772042192",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Binz St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770046925",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYMORE",
        "first_name": "RIGEL",
        "middle_name": "TENYA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rigeltenya.wymore.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "4849 Calhoun Rd Ste 1001A",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "772042192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.