NPIMap

Organization Active NPI

Blue Light Counseling

  • Professional Counselor
  • Georgetown, TX
National Provider Identifier
1154780997
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
73209 Issued in TX
Legal business name
BLUE LIGHT COUNSELING
Practice address
3008 Dawn Dr
Suite 101
Georgetown, TX 78628-2821
Phone
(603) 724-0079
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Magon Kunes, LPCNPI 1629383385
Title
Therapist/Owner
Phone
(603) 724-0079

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 73209 TX Primary

Addresses

Primary practice location

3008 Dawn Dr
Suite 101
Georgetown, TX 78628-2821

Mailing address

180 Eagle Owl Loop
Leander, TX 78641-2712
Phone (603) 724-0079

National Provider Directory

National Provider Directory

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": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1154780997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 EAGLE OWL LOOP",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412712",
            "telephone_number": "603-724-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 DAWN DR",
            "address_2": "SUITE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282821",
            "telephone_number": "603-724-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LIGHT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "KUNES",
        "authorized_official_first_name": "MAGON",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "603-724-0079",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.