Panache Counseling Group, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PANACHE COUNSELING GROUP, LLC

Practice address

1777 NE Loop 410 Ste 600
San Antonio, TX 78217-5218

Phone

(855) 472-4552

NPI assigned

Jan 14, 2019

Last updated

Jan 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dewanna W Greer, EDD, LPCNPI 1942666128

Title

Counselor

Phone

(318) 791-2954

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dewanna W Greer, ED.D., LPC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1942666128
  Authorized official Same address or phone

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1760956627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 NE LOOP 410 STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175218",
            "telephone_number": "855-472-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 NE LOOP 410 STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175218",
            "telephone_number": "855-472-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACHE COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "DEWANNA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "318-791-2954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.