Daniel Ray Coborn Jr., LPC ASSOCIATE

Primary specialty

CounselorTaxonomy code 101Y00000X

License

95270 Issued in TX

Practice address

6448 E Hwy 290 Ste F102
Austin, TX 78723-1042

Phone

(512) 561-0609

NPI assigned

Jun 21, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alive Austin, LLC

  • Community/Behavioral Health Agency
  • Austin, TX
  • NPI 1477952323
  NPD (past)

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1184468365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 AVERY ISLAND AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276924",
            "telephone_number": "512-461-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6448 E HWY 290 STE F102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231042",
            "telephone_number": "512-561-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBORN",
        "first_name": "DANIEL",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "95270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen M Cobb, R.PH.
• Jane L Cobb, LCSW
• Sarah Harley Cobb
• Stephanie Lyons Cobb, D.O.
• Susan Angela Cobb, PA-C
• Devyn Coburn
• Joann Jaramillo Coburn
• Selena E Coburn
• Andrew Coccia, OTR
• Rosario Coccimiglio, D.C.

• Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.