Lavender Space, Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LAVENDER SPACE, INC

Practice address

100 E San Antonio St Ste 101
San Marcos, TX 78666-5568

Phone

(512) 831-6696

NPI assigned

Nov 8, 2024

Organization subpart

No

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

Authorized official

Name

Aryn Thompson, LCSW-SNPI 1174179212

Title

Owner/Psychotherapist

Phone

(512) 831-6696

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 5

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

• Aryn Thompson, LCSW

  • Clinical Social Worker
  • San Marcos, TX
  • NPI 1174179212
  NPD Authorized official
• Jennifer Kirsten, LMSW

  • Clinical Social Worker
  • San Marcos, TX
  • NPI 1326896523
  NPD
• Stephanie Ashley Martinez, LCSW

  • Clinical Social Worker
  • San Marcos, TX
  • NPI 1922814011
  NPD
• Bianca Nicole Puleo, LMSW

  • Clinical Social Worker
  • San Marcos, TX
  • NPI 1427948652
  NPD
• Arisela Hernandez Thompson

  • Social Worker
  • San Marcos, TX
  • NPI 1922986280
  NPD

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1932923752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SAN ANTONIO ST STE 101",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665568",
            "telephone_number": "512-831-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SAN ANTONIO ST STE 101",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665568",
            "telephone_number": "512-831-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER SPACE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ARYN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "512-831-6696",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1174179212",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Larsen
• Stephanie Carol Larson, SLP
• Stephen Michael Lassig, PTA
• Melainie Lauderdale, LMSW
• Laura Frame, PLLC
• Bradley Lawing
• Thomas Francis Lawlor, P.T., D.P.T.
• Richard Scott Lawson, MD
• Carolyn Lay
• Baleigh Leatherman

• Professional Counselor in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.