AMAZING GRACE COUNSELING SERVICES, PLLC
NPI 1497151484
Clinic/Center - Adult Mental Health in Converse, TX

NPI Status: Active since November 18, 2014

Contact Information

9830 APPELLATE WAY
CONVERSE, TX
ZIP 78109
Phone: (210) 883-6287
Fax: (210) 305-5750

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  • Organization
  • Clinic/Center
  • Adult Mental Health
  • Accepts Insurance

About AMAZING GRACE COUNSELING SERVICES, PLLC

This page provides the complete NPI Profile along with additional information for Amazing Grace Counseling Services, Pllc, a provider established in Converse, Texas operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1497151484 assigned on November 2014. The practitioner's primary taxonomy code is 261QM0850X with license number 66851 (TX). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Ms. Necole W. Fryar Ma, Lpc (Ceo)

NPI
1497151484
Provider Name
AMAZING GRACE COUNSELING SERVICES, PLLC
Entity Type
Organization
Location Address
9830 APPELLATE WAY CONVERSE, TX 78109
Location Phone
(210) 883-6287
Location Fax
(210) 305-5750
Mailing Address
9830 APPELLATE WAY CONVERSE, TX 78109
Mailing Phone
(210) 883-6287
Mailing Fax
(210) 305-5750
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2014
Last Update Date
12-01-2016
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License No.
66851
License State
TX
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

66851 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. NECOLE W. FRYAR MA, LPC

Authorized Official Title
CEO
Authorized Official Phone
(210) 883-6287

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3455909-01MEDICAID (05)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497151484
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187252416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 2 + 5 + 2 + 4 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1497151484 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861749574 NECOLE W FRYAR MA, LPC
Individual
Counselor (Professional)9830 APPELLATE WAY
CONVERSE, TX 78109
(210) 883-6287

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497151484, enumerated in the NPI registry as an "organization" on November 18, 2014

The provider is located at 9830 Appellate Way Converse, Tx 78109 and the phone number is (210) 883-6287

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 18, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.