Active NPI
Molly C. Dreckman, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1124192240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19013
- Practice address
- 105 W Riverside Dr
Austin, TX 78704-1247 - Phone
- (512) 804-3000
- Fax
- (512) 323-9051
- NPI assigned
- Nov 20, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 19013 | TX | |
| Professional Counselor | 101YP2500X | 19013 | TX | Primary |
Addresses
Primary practice location
105 W Riverside Dr
Austin, TX 78704-1247
Mailing address
1430 Collier St
Austin, TX 78704-2911
Phone (512) 445-7787
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262430 | Other | TX | COMPSYCH |
| 7251LC | Other | TX | BLUECROSS BLUESHIELD |
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 |
|---|---|---|---|
| 19013 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1124192240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 COLLIER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787042911",
"telephone_number": "512-445-7787",
"fax_number": "512-440-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W RIVERSIDE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787041247",
"telephone_number": "512-804-3000",
"fax_number": "512-323-9051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRECKMAN",
"first_name": "MOLLY",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "19013",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "262430",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "7251LC",
"state": "TX"
}
],
"endpoints": [],
"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 Dec 10, 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.