Stephanie Banuelos, PHD
NPI 1174072581ActiveIndividual· Psychologist, Counseling· Rollingwood, TX
Psychologist, Counseling (PHD) in Rollingwood, Texas, licensed in TX, with an NPI issued in September 2016.
Overview
| NPI | 1174072581 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Sep 27, 2016 |
| Last updated in NPPES | May 24, 2023 |
| Certified by provider | May 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 39141 | TX |
| Psychologist, Clinical | 103TC0700X | 39141 | TX |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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