Individual provider Active NPI

Susan A Larmond, LPC

  • Professional Counselor
  • Killeen, TX
National Provider Identifier
1205194735
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64799 Issued in TX
Practice address
14138 State Highway 195
Killeen, TX 76542-1331
Phone
(254) 519-1144
Fax
(254) 519-1155
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64799 TX Primary

Addresses

Primary practice location

14138 State Highway 195
Killeen, TX 76542-1331

Mailing address

14138 State Highway 195
Killeen, TX 76542-1331
Phone (254) 519-1144

Other identifiers 1

IdentifierTypeStateIssuer
294066001MedicaidTX

Other names 1

  • Susan A Woullard Other name

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
64799TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Debbie Mabray PLLC PastSince Jan 8, 2013 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1205194735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14138 STATE HIGHWAY 195",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421331",
            "telephone_number": "254-519-1144",
            "fax_number": "254-519-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14138 STATE HIGHWAY 195",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421331",
            "telephone_number": "254-519-1144",
            "fax_number": "254-519-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARMOND",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294066001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WOULLARD",
            "middle_name": "A",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.