Individual provider Active NPI

Elaina D Whittenhall, ATR-BC, LPC-AT, LCPC

  • Professional Counselor
  • West Lake Hills, TX
National Provider Identifier
1942790746
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79511 Issued in TX
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
79511TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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

Sources for this page

Verify at the official NPI Registry.