MEDICARE: EVERRISE COUNSELING AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1467306308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERRISE COUNSELING AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	15413 BEDROCK DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78410-5745
Country	:	US
Telephone Number	:	361-728-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	13330 LEOPARD ST STE 20
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78410-4479
Country	:	US
Telephone Number	:	361-728-5100
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELINA ORTIZ
Credential	:	LPC
Telephone Number	:	361-728-5100

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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