The Cottage of Lakeway

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

63830 Issued in TX

Legal business name

THE COTTAGE OF LAKEWAY

Doing business as

The Lakehouse

Practice address

2777 Tradewind Dr
Spicewood, TX 78669-5131

Phone

(214) 669-1002

NPI assigned

Dec 4, 2015

Last updated

Dec 9, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy R Dyer, LPC

Title

Member

Phone

(214) 669-1002

Specialties & licenses 1

Addresses

Other names 1

• The Lakehouse Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1275908097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 LAKEWAY DR",
            "address_2": "SUITE 216",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "512-692-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 TRADEWIND DR",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786695131",
            "telephone_number": "214-669-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COTTAGE OF LAKEWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-669-1002",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lakehouse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Spicewood, TX
• Providers in Spicewood, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.