Active NPI
John Slywka, LMFT, LPC
- Marriage & Family Therapist
- Richardson, TX
National Provider Identifier
1306199088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4602
- Practice address
- 600 W Campbell Rd
Suite One
Richardson, TX 75080-3357 - Phone
- (972) 437-1400
- NPI assigned
- Oct 18, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12886 | TX | |
| Marriage & Family Therapist | 106H00000X | 4602 | TX | Primary |
Addresses
Primary practice location
600 W Campbell Rd
Suite One
Richardson, TX 75080-3357
Mailing address
600 W Campbell Rd
Suite One
Richardson, TX 75080-3357
Phone (972) 437-1400
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 |
|---|---|---|---|
| 12886 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 4602 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wynne Shaw Counseling Services, PLLC | Professional | 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.
-
- Professional Counselor
- Richardson, TX
- NPI 1447688833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1306199088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W CAMPBELL RD",
"address_2": "SUITE ONE",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803357",
"telephone_number": "972-437-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W CAMPBELL RD",
"address_2": "SUITE ONE",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803357",
"telephone_number": "972-437-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLYWKA",
"first_name": "JOHN",
"name_prefix": "Prof.",
"credential": "LMFT, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-18",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "12886",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "4602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.