Active NPI
Kathleen De Luca, LPC
- Professional Counselor
- Cedar Park, TX
National Provider Identifier
1154953784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75516
- Practice address
- 345 Cypress Creek Rd Ste 102
Cedar Park, TX 78613-4484 - Phone
- (512) 842-5168
- Fax
- (512) 727-0476
- NPI assigned
- Feb 11, 2020
- Last updated
- Feb 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 75516 | TX | Primary |
Addresses
Primary practice location
345 Cypress Creek Rd Ste 102
Cedar Park, TX 78613-4484
Mailing address
PO Box 660253
Austin, TX 78766-7253
Phone (512) 649-2270
Other names 1
- Kathleen Blakeney
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 |
|---|---|---|---|
| 75516 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roberson Counseling Center, PLLC | Professional | Current | Accepting new patients |
Locations
345 Cypress Creek Rd
Ste 102
Cedar Park, TX 78613
Phone (512) 649-2270
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Thriveworks North Central Austin
- Professional Counselor
- Austin, TX
- NPI 1144626599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1154953784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660253",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787667253",
"telephone_number": "512-649-2270",
"fax_number": "512-727-0476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 CYPRESS CREEK RD STE 102",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134484",
"telephone_number": "512-842-5168",
"fax_number": "512-727-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LUCA",
"first_name": "KATHLEEN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "BLAKENEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.