Individual provider Active NPI

Taylor Elizabeth Cnudde, LPC-A

  • Counselor
  • West Lake Hills, TX
National Provider Identifier
1154099604
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
85981 Issued in TX
Practice address
4407 Bee Caves Rd Ste 422
West Lake Hills, TX 78746-6406
Phone
(512) 469-0535
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 85981 TX Primary

Addresses

Primary practice location

4407 Bee Caves Rd Ste 422
West Lake Hills, TX 78746-6406

Mailing address

4407 Bee Caves Rd Ste 422
West Lake Hills, TX 78746-6406
Phone (989) 415-8928

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

LicenseStateTypeSpecialty
85981TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Wellness CurrentSince Aug 18, 2024 Accepting new patients
Ethos Prism, LLC PastSince Aug 18, 2024 Accepting new patients

Locations

4407 Bee Caves Rd
Ste 422
West Lake Hills, TX 78746
Phone (512) 469-0535

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1154099604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 422",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466406",
            "telephone_number": "989-415-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 422",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466406",
            "telephone_number": "512-469-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CNUDDE",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "85981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.