Active NPI
Elaina D Whittenhall, ATR-BC, LPC-AT, LCPC
- Professional Counselor
- West Lake Hills, TX
National Provider Identifier
1942790746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 79511
- Practice address
- 3939 Bee Caves Rd Ste A204
West Lake Hills, TX 78746-6429 - Phone
- (512) 675-1873
- Fax
- (512) 287-5531
- NPI assigned
- May 16, 2018
- Last updated
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 79511 | TX | Primary |
| Art Therapist | 221700000X | 17-423 | NU |
Addresses
Primary practice location
3939 Bee Caves Rd Ste A204
West Lake Hills, TX 78746-6429
Mailing address
3939 Bee Caves Rd Ste A204
West Lake Hills, TX 78746-6429
Phone (512) 675-1873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 22, 2024 through Apr 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79511 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creativity Transforms | Professional | Current | Accepting new patients |
Locations
3939 Bee Caves Rd
Ste A204
West Lake Hills, TX 78746
Phone (512) 609-0598
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1942790746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 BEE CAVES RD STE A204",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466429",
"telephone_number": "512-675-1873",
"fax_number": "512-287-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 BEE CAVES RD STE A204",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466429",
"telephone_number": "512-675-1873",
"fax_number": "512-287-5531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTENHALL",
"first_name": "ELAINA",
"middle_name": "D",
"credential": "ATR-BC, LPC-AT, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "79511",
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NU",
"license": "17-423",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lake Hills, TX
- Bryan Wheeler
- Ruth Whipple, M.S., BCBA
- Todd Oliver Whipple, DC
- Joe David Whittemore II, PT, DPT, SCS
- Catherine Whitten, LPC
- Wildflower Breast Center, PLLC (Wildflower Breast Center)
- Wildflower Counseling Atx, LLC
- Lindsay Wiley, MAD, LPC-A
- Robyn K Wiley, OT
- Wilfong Nutrition Limited Liability Company
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.