Active NPI
Andrew Bauerle, LPC-ASSOCIATE
- Professional Counselor
- Shenandoah, TX
National Provider Identifier
1265206015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 92960
- Practice address
- 128 Vision Park Blvd Ste 230
Shenandoah, TX 77384-3018 - Phone
- (832) 365-1741
- NPI assigned
- Nov 13, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 92960 | TX | Primary |
Addresses
Primary practice location
128 Vision Park Blvd Ste 230
Shenandoah, TX 77384-3018
Mailing address
315 Prince of Wales St
Conroe, TX 77304-2719
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 |
|---|---|---|---|
| 92960 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1265206015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 PRINCE OF WALES ST",
"city": "CONROE",
"state": "TX",
"postal_code": "773042719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 VISION PARK BLVD STE 230",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843018",
"telephone_number": "832-365-1741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUERLE",
"first_name": "ANDREW",
"credential": "LPC-ASSOCIATE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "92960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.