Individual provider Active NPI

Timothy John Winters, LPC

  • Professional Counselor
  • San Marcos, TX
National Provider Identifier
1275945636
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18205 Issued in TX
Practice address
1901 Dutton Dr
Suite E
San Marcos, TX 78666-7573
Phone
(512) 396-7695
Fax
(512) 396-7633
NPI assigned
May 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10881 TX
Professional Counselor 101YP2500X 18205 TX Primary

Addresses

Primary practice location

1901 Dutton Dr
Suite E
San Marcos, TX 78666-7573

Mailing address

1901 Dutton Dr
Suite E
San Marcos, TX 78666-7573
Phone (512) 396-7695

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

LicenseStateTypeSpecialty
10881TXMDGeneral Practice Dentistry
18205TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Caldwell Council on Alcohol and Drugs Addiction (Substance Use Disorder) 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.

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1275945636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 DUTTON DR",
            "address_2": "SUITE E",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667573",
            "telephone_number": "512-396-7695",
            "fax_number": "512-396-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 DUTTON DR",
            "address_2": "SUITE E",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667573",
            "telephone_number": "512-396-7695",
            "fax_number": "512-396-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10881",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.