Active NPI
Deaires Cotton, LPC-A
- Counselor
- West Lake Hills, TX
National Provider Identifier
1245059666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 96734
- Practice address
- 4407 Bee Caves Rd Ste 422
West Lake Hills, TX 78746-6406 - Phone
- (737) 400-4467
- NPI assigned
- Oct 3, 2024
- Last updated
- Oct 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 96734 | TX | Primary |
Addresses
Primary practice location
4407 Bee Caves Rd Ste 422
West Lake Hills, TX 78746-6406
Mailing address
4407 Bee Caves Rd Ste 422
West Lake Hills, TX 78746-6406
Phone (737) 400-4467
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
| License | State | Type | Specialty |
|---|---|---|---|
| 96734 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ethos Prism, LLC | 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": "1727913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1245059666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4407 BEE CAVES RD STE 422",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466406",
"telephone_number": "737-400-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 BEE CAVES RD STE 422",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466406",
"telephone_number": "737-400-4467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTON",
"first_name": "DEAIRES",
"credential": "LPC-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-03",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "96734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.