Elizabeth Alegria, LPC
Individual provider Active NPI Professional Counselor · Round Rock, TX
NPI 1740569540 · NPPES record last updated Aug 10, 2011
Key facts
- NPI
- 1740569540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 65870 (TX)
- Practice address
- 1009 N Georgetown St
Round Rock, TX 78664-3289 - Phone
- (512) 255-1720
- Fax
- (512) 244-8261
- NPI assigned
- Aug 10, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240521003532 | TX | Practitioner - Mental Health Counselor | 1355663147 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65870 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gramercy Specialty Clinic PLLC | Professional | Current |
Accepting new patients |
| Gramercy Specialty Clinic | Professional | Current | Accepting new patients |
| Pathways Community Support of Texas, Inc. | Past |
Accepting new patients |
Locations
4009 Banister Ln
Ste 355
Austin, TX 78704
Phone (512) 712-2662
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 65870 | TX | Yes |
Addresses
Primary practice location
1009 N Georgetown St
Round Rock, TX 78664-3289
Mailing address
1009 N Georgetown St
Round Rock, TX 78664-3289
Phone (512) 255-1720
NPI Registry JSON
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1740569540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 N GEORGETOWN ST",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786643289",
"telephone_number": "512-255-1720",
"fax_number": "512-244-8261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 N GEORGETOWN ST",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786643289",
"telephone_number": "512-255-1720",
"fax_number": "512-244-8261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEGRIA",
"first_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "65870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
- Albertsons LLC
- Albertsons LLC
- Maria Albrecht
- Michael M. Albrecht
- Christine Rebekah Alcenius
- Olivia Roshelle Aleksanyan
- Idida Aleman Musial
- Alissa Alexander
- Cheryl Yvette Alexander
- Dereck Alexander
All providers in Round Rock, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.