Individual provider Active NPI

Anne Tankersley Botter, LPC

  • Professional Counselor
  • Cedar Park, TX
National Provider Identifier
1245089903
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
95067 Issued in TX
Practice address
3000 Polar LN Ste 701
Cedar Park, TX 78613-3073
Phone
(512) 576-7760
NPI assigned
May 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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 95067 TX Primary

Addresses

Primary practice location

3000 Polar LN Ste 701
Cedar Park, TX 78613-3073

Mailing address

3000 Polar LN Ste 701
Cedar Park, TX 78613-3073
Phone (512) 576-7760

Other practice location 1

1318 Manley Way
Cedar Park, TX 78613-7136
Phone (512) 576-7760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260116001791 TX Practitioner - Mental Health Counselor 9032696323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3000 Polar LN
Suite 701
Cedar Park, TX 78613-3025

314 Furlong Trce
Versailles, KY 40383-2067

535 Mack Ave
Kingsley, MI 49649-9220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95067TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Total Wellness Therapy & Counseling Group PLLC Mental Health CurrentSince Dec 13, 2025 Accepting new patients

Locations

3000 Polar Ln
Ste 701
Cedar Park, TX 78613
Phone (512) 265-6772

Organizations & group practices 2

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": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1245089903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 POLAR LN STE 701",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133073",
            "telephone_number": "512-576-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 POLAR LN STE 701",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133073",
            "telephone_number": "512-576-7760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1318 Manley Way",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137136",
            "country_code": "US",
            "telephone_number": "512-576-7760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTTER",
        "first_name": "ANNE",
        "middle_name": "TANKERSLEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "95067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.