Green Couch Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

63978 Issued in TX

Legal business name

GREEN COUCH COUNSELING, PLLC

Practice address

600 Round Rock West Dr Ste 602
Round Rock, TX 78681-5005

Phone

(512) 771-3938

NPI assigned

Jan 23, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Candice K Fraser, LPCNPI 1942447917

Title

Therapist/Ownder

Phone

(512) 771-3938

Specialties & licenses 1

Addresses

Other names 1

• Candice Fraser, LPC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candice Kay Fraser, LPC

  • Professional Counselor
  • Georgetown, TX
  • NPI 1942447917
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1043633282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ROUND ROCK WEST DR STE 602",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815005",
            "telephone_number": "512-771-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROUND ROCK WEST DR STE 602",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815005",
            "telephone_number": "512-771-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN COUCH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "THERAPIST/OWNDER",
        "authorized_official_telephone_number": "512-771-3938",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Candice Fraser, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Joseph Gray, LCSW
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• Greater Texas Neuromonitoring LLC
• Alyssa Green, MS RD LD
• Heather Green, NUTRITIONAL EDUCATOR
• Jason Green, RBT
• Kaitlynn Beth Green, RBT
• Kelsey Patricia Green, PT, DPT

• Professional Counselor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.