Individual provider Active NPI

Katina Rudley

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1235870163
Registry record updated May 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
5708 W Parmer LN Apt 2201
Austin, TX 78727-0257
Phone
(678) 849-0530
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X TX Primary

Addresses

Primary practice location

5708 W Parmer LN Apt 2201
Austin, TX 78727-0257

Mailing address

5708 W Parmer LN Apt 2201
Austin, TX 78727-0257
Phone (678) 849-0530

Other identifiers 1

IdentifierTypeStateIssuer
0644658252OtherTXHPSO PROFESSIONAL LIABILITY INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL discoveringpeacecounseling.org Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1235870163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 W PARMER LN APT 2201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787270257",
            "telephone_number": "678-849-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 W PARMER LN APT 2201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787270257",
            "telephone_number": "678-849-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDLEY",
        "first_name": "KATINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPSO PROFESSIONAL LIABILITY INSURANCE",
            "identifier": "0644658252",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "discoveringpeacecounseling.org",
            "affiliation": "N",
            "endpointDescription": "domain name",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5708 W Parmer Ln Apt 2201",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787270257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.