Individual provider Active NPI

Hilda Statz, PSYD, LPC-S

  • Mental Health Counselor
  • Canyon Lake, TX
National Provider Identifier
1861949281
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
71300 Issued in TX
Practice address
106 Canyon CRK
Canyon Lake, TX 78133-4170
Phone
(915) 422-3664
Fax
(830) 688-4900
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 71300 TX
Professional Counselor 101YP2500X 71300 TX
School Counselor 101YS0200X TX
Mental Health Counselor 101YM0800X 71300 TX Primary

Addresses

Primary practice location

106 Canyon CRK
Canyon Lake, TX 78133-4170

Mailing address

106 Canyon Creek
Canyon Lake, TX 78133-4170
Phone (915) 422-3664

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
I20250214001510 TX Practitioner - Mental Health Counselor 1658801048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 Canyon CRK
Canyon Lake, TX 78133-4170
Phone (915) 422-3664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71300TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
B'Nai-El Ministries Counselor CurrentSince Dec 23, 2024 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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1861949281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CANYON CREEK",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334170",
            "telephone_number": "915-422-3664",
            "fax_number": "830-688-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CANYON CRK",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334170",
            "telephone_number": "915-422-3664",
            "fax_number": "830-688-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATZ",
        "first_name": "HILDA",
        "credential": "PSYD, LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "71300",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71300",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "71300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Lake, TX

Sources for this page

Verify at the official NPI Registry.