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MENDING SELF COUNSELING PLLC
NPI 1114613627
Clinic/Center - Mental Health (Including Community Mental Health Center) in San Antonio, TX

Active since April 17, 2023
2724 RUNNING FAWN, SAN ANTONIO, TX 78261(830) 253-3807 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mending Self Counseling Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENDING SELF COUNSELING PLLC (NPI 1114613627) is a healthcare organization registered as a mental health (including community mental health center) in San Antonio, Texas and active in the NPI registry since April 2023. The organization lists Lauren E O'connor, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1114613627
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMENDING SELF COUNSELING PLLC
Location Address2724 RUNNING FAWNSan Antonio, TX 78261-4410
Mailing Address2724 Running FawnSan Antonio, TX 78261-4410 · (830) 253-3807
Phone(830) 253-3807
Organization SubpartNo
Authorized OfficialLauren E O'connorCo-owner · (830) 253-3807
Enumeration DateApril 17, 2023
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1114613627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2724 RUNNING FAWN, San Antonio, TX 78261
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mending Self Counseling Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mending Self Counseling PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Deanna Foster
Mental Health Counselor
NPI 1326498759
2724 RUNNING FAWN
San Antonio, TX 78261
(830) 200-0760
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mending Self Counseling PLLC's NPI number?

The NPI number for Mending Self Counseling PLLC is 1114613627. It was assigned to this organization in the NPPES registry on April 17, 2023.

Where is Mending Self Counseling PLLC located?

Mending Self Counseling PLLC is located at 2724 Running Fawn, San Antonio, TX 78261. The listed phone number is (830) 253-3807.

What is Mending Self Counseling PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Mending Self Counseling PLLC enrolled in Medicare?

Yes. Mending Self Counseling PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mending Self Counseling PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Mending Self Counseling PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mending Self Counseling PLLC was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.