Individual provider Active NPI

Laura McWhorter

  • Behavior Analyst
  • Universal City, TX
National Provider Identifier
1043649098
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-14826 Issued in TX
Practice address
122 W Lindbergh Blvd
Universal City, TX 78148-4322
Phone
(210) 701-0525
Fax
(210) 960-5070
NPI assigned
Nov 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-14826 TX Primary
Psychologist 103T00000X 39197 TX

Addresses

Primary practice location

122 W Lindbergh Blvd
Universal City, TX 78148-4322

Mailing address

100 Ranch House Rd
Cibolo, TX 78108-4346
Phone (210) 701-0525

Other practice location 1

100 Ranch House Rd
Cibolo, TX 78108-4346
Phone (210) 844-5710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 29, 2023 through Dec 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39197TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Health Behavior Behavior Analyst CurrentSince Oct 31, 2021 Accepting new patients
Whole Health Psychology Psychologist CurrentSince Oct 2, 2022 Accepting new patients

Locations

122 W Lindbergh Blvd
Universal City, TX 78148
Phone (210) 439-1386

1001 Pat Booker Rd
Ste 202
Universal Cty, TX 78148

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1043649098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RANCH HOUSE RD",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781084346",
            "telephone_number": "210-701-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W LINDBERGH BLVD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781484322",
            "telephone_number": "210-701-0525",
            "fax_number": "210-960-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ranch House Rd",
            "address_purpose": "LOCATION",
            "city": "Cibolo",
            "state": "TX",
            "postal_code": "781084346",
            "country_code": "US",
            "telephone_number": "210-844-5710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCWHORTER",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-09",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-13-14826",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "39197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Universal City, TX

Sources for this page

Verify at the official NPI Registry.