Active NPI
Laura Kotlowski
- Professional Counselor
- New Braunfels, TX
National Provider Identifier
1043725401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 71527
- Practice address
- 641 N Walnut Ave
New Braunfels, TX 78130-7925 - Phone
- (830) 730-6090
- Fax
- (830) 455-4355
- NPI assigned
- Dec 7, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10984 | TX | |
| Professional Counselor | 101YP2500X | 71527 | TX | Primary |
Addresses
Primary practice location
641 N Walnut Ave
New Braunfels, TX 78130-7925
Mailing address
21726 Cliff VW
San Antonio, TX 78259-2042
Phone (219) 614-4645
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 |
|---|---|---|---|
| 10984 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 71527 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inmindout Emotional Wellness Center, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
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": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1043725401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21726 CLIFF VW",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782592042",
"telephone_number": "219-614-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 N WALNUT AVE",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781307925",
"telephone_number": "830-730-6090",
"fax_number": "830-455-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTLOWSKI",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-07",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "10984",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "71527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.