Victoria Jean Carr, LPC
Individual provider Active NPI Professional Counselor · Converse, TX
NPI 1831789833 · NPPES record last updated Jan 22, 2021
Key facts
- NPI
- 1831789833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 81748 (TX)
- Practice address
- 3911 Battery Park
Converse, TX 78109-2819 - Phone
- (210) 913-3387
- NPI assigned
- Jan 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brightside Medical PC
Practice addresses (Care Compare)
Austin, TX 78731
Phone (415) 360-3348
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240221003725 | TX | Practitioner - Mental Health Counselor | 3779927389 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.C. | Current |
Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 81748 | TX | Yes |
Addresses
Primary practice location
3911 Battery Park
Converse, TX 78109-2819
Mailing address
3911 Battery Park
Converse, TX 78109-2819
Phone (210) 913-3387
Other providers in Converse, TX
- Joel Stephen Caltrider
- Care for Comfort
- Caring Pride LLC
- Kristina Carnes
- Stephen Llyod Carr
- George A Carrasco
- Shanaurie Marie Carson-Chandler
- Marianne W Carter
- Nia Castro
- Center on Independent Living
All providers in Converse, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.