Active NPI
Ty Christopher Landry, LPC
- Mental Health Counselor
- Pflugerville, TX
National Provider Identifier
1043404569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15628
- Practice address
- 15512 Miss Adriennes Path
Pflugerville, TX 78660-3282 - Phone
- (512) 252-7835
- NPI assigned
- Aug 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 15628 | TX | Primary |
Addresses
Primary practice location
15512 Miss Adriennes Path
Pflugerville, TX 78660-3282
Mailing address
15512 Miss Adriennes Path
Pflugerville, TX 78660-3282
Phone (512) 252-7835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28027301 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15628 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1043404569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15512 MISS ADRIENNES PATH",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786603282",
"telephone_number": "512-252-7835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15512 MISS ADRIENNES PATH",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786603282",
"telephone_number": "512-252-7835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "TY",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "15628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28027301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.