Active NPI
Aubrey Harris
- Professional Counselor
- Round Rock, TX
National Provider Identifier
1720822497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 90294
- Practice address
- 1311 Chisholm Trail Rd Ste 201
Round Rock, TX 78681-2969 - Phone
- (512) 546-6798
- Fax
- (512) 591-0049
- NPI assigned
- Jun 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 90294 | TX | Primary |
Addresses
Primary practice location
1311 Chisholm Trail Rd Ste 201
Round Rock, TX 78681-2969
Mailing address
1311 Chisholm Trail Rd Ste 201
Round Rock, TX 78681-2969
Phone (512) 546-6798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 20, 2024 through Jun 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90294 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Revelations | Current | Accepting new patients | |
| Crave Counseling PLLC | Professional | Current | Accepting new patients |
Locations
1311 Chisholm Trail Rd
Ste 201
Round Rock, TX 78681
Phone (512) 546-6798
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1043174543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1720822497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 CHISHOLM TRAIL RD STE 201",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786812969",
"telephone_number": "512-546-6798",
"fax_number": "512-591-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 CHISHOLM TRAIL RD STE 201",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786812969",
"telephone_number": "512-546-6798",
"fax_number": "512-591-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "AUBREY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-19",
"last_updated": "2024-06-19",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "90294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.