Individual provider Active NPI

Ayesha Elise Anthony, LPC

  • Counselor
  • Dripping Springs, TX
National Provider Identifier
1790905222
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
61136 Issued in TX
Practice address
10206 Thomas LN
Dripping Springs, TX 78620-2813
Phone
(512) 554-4541
Fax
(512) 284-8882
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 61136 TX Primary

Addresses

Primary practice location

10206 Thomas LN
Dripping Springs, TX 78620-2813

Mailing address

10206 Thomas LN
Dripping Springs, TX 78620-2813
Phone (512) 554-4541

Other identifiers 1

IdentifierTypeStateIssuer
182851901MedicaidTX

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
I20250828004798 TX Practitioner - Mental Health Counselor 3870094055 Practice locations: Dripping Springs, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Dripping Springs, TX 78620
Phone (512) 554-4541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61136TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1790905222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10206 THOMAS LN",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786202813",
            "telephone_number": "512-554-4541",
            "fax_number": "512-284-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10206 THOMAS LN",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786202813",
            "telephone_number": "512-554-4541",
            "fax_number": "512-284-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "AYESHA",
        "middle_name": "ELISE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "61136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182851901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dripping Springs, TX

Sources for this page

Verify at the official NPI Registry.