Organization Active NPI

Oasis on the Concho, PLLC

  • Professional Counselor
  • San Angelo, TX
National Provider Identifier
1932923737
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
OASIS ON THE CONCHO, PLLC
Practice address
3131 Executive Dr
San Angelo, TX 76904-6801
Phone
(325) 947-5021
Fax
(325) 267-2629
NPI assigned
Nov 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Authorized official

Name
Lani Annette Webster, LPCNPI 1194547638
Title
Licensed Professional Counselor
Phone
(325) 212-9115

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

3131 Executive Dr
San Angelo, TX 76904-6801

Mailing address

3221 Oak Mountain TRL
San Angelo, TX 76904-7327
Phone (325) 212-9115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250117000717 TX Part B Supplier - Clinic/Group Practice 0345777371 Receives reassigned benefits from 1 practitioner
Practice locations: San Angelo, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1932923737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 OAK MOUNTAIN TRL",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047327",
            "telephone_number": "325-212-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 EXECUTIVE DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046801",
            "telephone_number": "325-947-5021",
            "fax_number": "325-267-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS ON THE CONCHO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "LANI",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "325-212-9115",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.