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
- 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 and National Provider Directory roles.
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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.