NPIMap

Organization Active NPI

Aware Therapeutic Services, PLLC

  • Professional Counselor
  • Fulshear, TX
National Provider Identifier
1780372995
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
AWARE THERAPEUTIC SERVICES, PLLC
Practice address
5210 Prairie Terrace LN
Fulshear, TX 77441-2199
Phone
(832) 780-3035
NPI assigned
Apr 26, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Desiree ShankleNPI 1427703750
Title
Owner
Phone
(832) 780-3035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

NPPES NPI Registry

Primary practice location

5210 Prairie Terrace LN
Fulshear, TX 77441-2199

Mailing address

1321 Upland Drive
PMB 5087
Houston, TX 77043

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 26, 2023.

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1780372995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 UPLAND DRIVE",
            "address_2": "PMB 5087",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 PRAIRIE TERRACE LN",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774412199",
            "telephone_number": "832-780-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWARE THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "SHANKLE",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-780-3035"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.