Velery Nicole Fasano-Gilman, MS
Individual provider Active NPI Professional Counselor · Killeen, TX
NPI 1902493554 · NPPES record last updated Dec 30, 2020
Key facts
- NPI
- 1902493554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 81306 (TX)
- Practice address
- 123 Yates Rd
Killeen, TX 76549-6757 - Phone
- (254) 432-4290
- NPI assigned
- Dec 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81306 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restorative Hope Sanctuary | Professional | Current | Accepting new patients |
| Grow Healthcare Group PA | Professional | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 81306 | TX | Yes |
Addresses
Primary practice location
123 Yates Rd
Killeen, TX 76549-6757
Mailing address
1100 S Kenney Fort Blvd
Round Rock, TX 78665-2024
Phone (254) 383-0053
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | velfasano@outlook.com | Direct |
Other providers in Killeen, TX
- Paris Fant
- Rose Amethyst Farace
- Manzoor S Farooqi
- Leslie Brooke Farrell
- Dolletta Farrow
- Patricia A Fasano
- Safa Fassihi
- Ruby Fawell
- Corey Ray Fearheiley
- Brandi Lynn Featherston
All providers in Killeen, 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 Dec 30, 2020. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.