Active NPI
Olga J Vidal, LPC
- Counselor
- Del Valle, TX
National Provider Identifier
1881701613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 17141
- Practice address
- 3518 FM 973
Del Valle, TX 78617-3627 - Phone
- (512) 247-4746
- Fax
- (512) 247-2447
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 17141 | TX | Primary |
Addresses
Primary practice location
3518 FM 973
Del Valle, TX 78617-3627
Mailing address
1309 Melissa Oaks LN
Austin, TX 78744-7965
Phone (512) 636-9436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17141 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881701613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 MELISSA OAKS LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787447965",
"telephone_number": "512-636-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3518 FM 973",
"city": "DEL VALLE",
"state": "TX",
"postal_code": "786173627",
"telephone_number": "512-247-4746",
"fax_number": "512-247-2447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDAL",
"first_name": "OLGA",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "17141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Del Valle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.