Active NPI
Ryan Keith Watson, LPC
- Counselor
- Amarillo, TX
National Provider Identifier
1255594297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 61896
- Practice address
- 1901 Medi Park Dr Ste 2058
Amarillo, TX 79106-2109 - Phone
- (806) 418-8900
- NPI assigned
- Jul 9, 2008
- Last updated
- Jun 25, 2013
- 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 | 61896 | TX | Primary |
Addresses
Primary practice location
1901 Medi Park Dr Ste 2058
Amarillo, TX 79106-2109
Mailing address
1901 Medi Park Dr Ste 2058
Amarillo, TX 79106-2109
Phone (806) 418-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942823-01 | Medicaid | TX |
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 |
|---|---|---|---|
| 61896 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1255594297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 MEDI PARK DR STE 2058",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062109",
"telephone_number": "806-418-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 MEDI PARK DR STE 2058",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062109",
"telephone_number": "806-418-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "RYAN",
"middle_name": "KEITH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-09",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "61896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942823-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.