Active NPI
Catherine Tito, M.A. LPC INTERN
- Professional Counselor
- Southlake, TX
National Provider Identifier
1023495058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73913
- Practice address
- 181 Grand Ave
Suite 230
Southlake, TX 76092-7631 - Phone
- (817) 756-1440
- NPI assigned
- Apr 28, 2015
- Last updated
- Apr 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 73913 | TX | Primary |
Addresses
Primary practice location
181 Grand Ave
Suite 230
Southlake, TX 76092-7631
Mailing address
2777 Chatswood Dr
Trophy Club, TX 76262-3429
Phone (817) 343-0015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73913 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1023495058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2777 CHATSWOOD DR",
"city": "TROPHY CLUB",
"state": "TX",
"postal_code": "762623429",
"telephone_number": "817-343-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 GRAND AVE",
"address_2": "SUITE 230",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927631",
"telephone_number": "817-756-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITO",
"first_name": "CATHERINE",
"credential": "M.A. LPC INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-28",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.