Individual provider Active NPI

Theresa Covington, MA, LPC

  • Professional Counselor
  • Granbury, TX
National Provider Identifier
1740995836
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88627 Issued in TX
Practice address
416 S Morgan St
Granbury, TX 76048-1958
Phone
(817) 668-6191
NPI assigned
Jan 23, 2023
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 88627 TX Primary

Addresses

Primary practice location

416 S Morgan St
Granbury, TX 76048-1958

Mailing address

10501 Mitchell Bend CT
Granbury, TX 76048-7761
Phone (817) 668-6191

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
I20250624001721 TX Practitioner - Mental Health Counselor 5890207096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Pecan Valley MHMR RegionGroup PAC ID 4688627706, 20 clinicians

Practice addresses (Care Compare)

1715 Santa Fe Dr
Weatherford, TX 76086-6419
Phone (817) 599-7634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
88627TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pecan Valley MHMR Region CurrentSince Jun 1, 2025 Accepting new patients
Pecan Valley MHMR Region Mental Health Current Accepting new patients
Serene Spaces Psychiatry PLLC PastSince Nov 2, 2024 Accepting new patients
Huguley Psychotherapy Clinic, Inc. PastSince Jan 1, 2023 Accepting new patients

Locations

1601 N Anglin St
Cleburne, TX 76031
Phone (817) 202-2732

104 Pirate Dr
Granbury, TX 76048
Phone (817) 573-2662

2101 W Pearl St
Granbury, TX 76048
Phone (817) 552-2007

906 W Lingleville Rd
Stephenville, TX 76401
Phone (254) 968-4181

1715 Santa Fe Dr
Weatherford, TX 76086
Phone (817) 579-4400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1740995836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 MITCHELL BEND CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760487761",
            "telephone_number": "817-668-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S MORGAN ST",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481958",
            "telephone_number": "817-668-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "THERESA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.