Individual provider Active NPI

Jeanne Marie Vilim, M. ED., LPC

  • Counselor
  • Austin, TX
National Provider Identifier
1851404990
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
13834 Issued in TX
Practice address
4101 Parkstone Heights Dr Ste 260
Austin, TX 78746-7397
Phone
(512) 789-3860
Fax
(512) 306-8086
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 13834 TX Primary

Addresses

Primary practice location

4101 Parkstone Heights Dr Ste 260
Austin, TX 78746-7397

Mailing address

4101 Parkstone Heights Dr Ste 260
Austin, TX 78746-7397
Phone (512) 789-3860

Other identifiers 1

IdentifierTypeStateIssuer
6419LCOtherTXBC / BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
13834TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gallagher & Partners, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851404990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 PARKSTONE HEIGHTS DR STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467397",
            "telephone_number": "512-789-3860",
            "fax_number": "512-306-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 PARKSTONE HEIGHTS DR STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467397",
            "telephone_number": "512-789-3860",
            "fax_number": "512-306-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILIM",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M. ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "13834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC / BS",
            "identifier": "6419LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.