Organization Active NPI

Counseling Center for Living Well, PLLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1861639577
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17708 Issued in TX
Legal business name
COUNSELING CENTER FOR LIVING WELL, PLLC
Practice address
10615 Perrin Beitel Rd
Ste 207
San Antonio, TX 78217-3138
Phone
(210) 490-9106
Fax
(501) 635-3832
NPI assigned
Jan 16, 2009
Last updated
Jan 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Mrs. Christina L Russell, LPCNPI 1205856283
Title
Director/Counselor
Phone
(210) 490-9106

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 Counselor 101YP2500X 17708 TX Primary

Addresses

Primary practice location

10615 Perrin Beitel Rd
Ste 207
San Antonio, TX 78217-3138

Mailing address

10615 Perrin Beitel Rd
Ste 207
San Antonio, TX 78217-3138
Phone (210) 490-9106

National Provider Directory

National Provider Directory

Locations

10615 Perrin Beitel Rd
Ste 207
San Antonio, TX 78217
Phone (210) 490-9106

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1861639577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 PERRIN BEITEL RD",
            "address_2": "STE 207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173138",
            "telephone_number": "210-490-9106",
            "fax_number": "501-635-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 PERRIN BEITEL RD",
            "address_2": "STE 207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173138",
            "telephone_number": "210-490-9106",
            "fax_number": "501-635-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER FOR LIVING WELL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/COUNSELOR",
        "authorized_official_telephone_number": "210-490-9106",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.