Michelle Miriam Quayle, COUNSELOR

Primary specialty

CounselorTaxonomy code 101Y00000X

License

88865 Issued in TX

Practice address

1205 W 43Rd St
Austin, TX 78756-3301

Phone

(512) 200-3017

NPI assigned

Oct 18, 2022

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1225754492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 DOE VALLEY LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W 43RD ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563301",
            "telephone_number": "512-200-3017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5213 Doe Valley Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787597103",
            "country_code": "US",
            "telephone_number": "512-200-3017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Round Rock West Dr Ste 403",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786815005",
            "country_code": "US",
            "telephone_number": "512-200-3017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAYLE",
        "first_name": "MICHELLE",
        "middle_name": "MIRIAM",
        "name_prefix": "Ms.",
        "credential": "COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "88865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 18, 2022; 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.