Individual provider Active NPI

Vanessa Lane Watts, LPC

  • Counselor
  • College Station, TX
National Provider Identifier
1164731105
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
65841 Issued in TX
Practice address
505 University Dr E
Ste. 501
College Station, TX 77840-5901
Phone
(979) 571-8857
Fax
(979) 314-9993
NPI assigned
Sep 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 65841 TX Primary

Addresses

Primary practice location

505 University Dr E
Ste. 501
College Station, TX 77840-5901

Mailing address

505 University Dr E
Ste.501
College Station, TX 77840-5901
Phone (979) 571-8857

Other identifiers 1

IdentifierTypeStateIssuer
65841OtherTXTEXAS LICENSE

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
65841TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Kids Counselor Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1164731105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 UNIVERSITY DR E",
            "address_2": "STE.501",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778405901",
            "telephone_number": "979-571-8857",
            "fax_number": "979-314-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 UNIVERSITY DR E",
            "address_2": "STE. 501",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778405901",
            "telephone_number": "979-571-8857",
            "fax_number": "979-314-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "VANESSA",
        "middle_name": "LANE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "65841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "65841",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.