Organization Active NPI

Pegasus Counseling

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1104432319
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PEGASUS COUNSELING
Practice address
1823 Fortview Rd Ste 104
Austin, TX 78704-7663
Phone
(512) 710-5655
NPI assigned
Sep 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Mr. John Robert Horton-Young, LPC-SNPI 1104169457
Title
Owner
Phone
(512) 710-5655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1823 Fortview Rd Ste 104
Austin, TX 78704-7663

Mailing address

1823 Fortview Rd Ste 104
Austin, TX 78704-7663
Phone (512) 710-5655

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john@pegasuscounselingaustin.com Direct

National Provider Directory

National Provider Directory

Locations

1823 Fortview Rd
Ste 104
Austin, TX 78704
Phone (512) 377-1065

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1104432319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 FORTVIEW RD STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047663",
            "telephone_number": "512-710-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 FORTVIEW RD STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047663",
            "telephone_number": "512-710-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "HORTON-YOUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-710-5655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john@pegasuscounselingaustin.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1823 Fortview Rd Ste 104",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787047663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.