Individual provider Active NPI

Valerie Jo Vineyard, L.P.C.

  • Professional Counselor
  • Temple, TX
National Provider Identifier
1699097832
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64012 Issued in TX
Practice address
3009 Ira Young Dr
#407
Temple, TX 76504-6382
Phone
(254) 718-5781
NPI assigned
Feb 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 64012 TX
Mental Health Counselor 101YM0800X 64012 TX
Professional Counselor 101YP2500X 64012 TX Primary

Addresses

Primary practice location

3009 Ira Young Dr
#407
Temple, TX 76504-6382

Mailing address

3009 Ira Young Dr
#407
Temple, TX 76504-6382

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
I20241002002769 TX Practitioner - Mental Health Counselor 6406387380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crystal Counseling PLLCGroup PAC ID 6002110418, 3 clinicians

Practice addresses (Care Compare)

116 Gallery Cir
Suite 201
San Antonio, TX 78258-3341
Phone 21080246952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64012TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Counseling PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

116 Gallery Cir
Ste 201
San Antonio, TX 78258
Phone (210) 802-4695

Organizations & group practices 1

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": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266192000000",
    "number": "1699097832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 IRA YOUNG DR",
            "address_2": "#407",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 IRA YOUNG DR",
            "address_2": "#407",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046382",
            "telephone_number": "254-718-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINEYARD",
        "first_name": "VALERIE",
        "middle_name": "JO",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "64012",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64012",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.