Organization Active NPI

Atlas Counseling & Trauma Services, PLLC

  • Professional Counselor
  • San Angelo, TX
National Provider Identifier
1780402289
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ATLAS COUNSELING & TRAUMA SERVICES, PLLC
Practice address
2002 Colorado Ave
San Angelo, TX 76901-3906
Phone
(325) 227-6759
Fax
(325) 227-6760
NPI assigned
Oct 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Lori Hollingsworth, PHD, LPC-S, NCCNPI 1316102668
Title
Owner
Phone
(325) 227-6759

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2002 Colorado Ave
San Angelo, TX 76901-3906

Mailing address

2002 Colorado Ave
San Angelo, TX 76901-3906
Phone (325) 227-6759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241030000500 TX Part B Supplier - Clinic/Group Practice 4587197504 Receives reassigned benefits from 1 practitioner
Practice locations: San Angelo, TX

National Provider Directory

National Provider Directory

Locations

2002 Colorado Ave
San Angelo, TX 76901
Phone (325) 227-6759

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1780402289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 COLORADO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013906",
            "telephone_number": "325-227-6759",
            "fax_number": "325-227-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 COLORADO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013906",
            "telephone_number": "325-227-6759",
            "fax_number": "325-227-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS COUNSELING & TRAUMA SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-227-6759",
        "authorized_official_credential": "PHD, LPC-S, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.