Active NPI
Mary Kristin Bade, PH.D.
- Counseling Psychologist
- West Lake Hills, TX
National Provider Identifier
1336337260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 33558
- Practice address
- 1301 S Capital of Texas Hwy
BLDG C, Ste. 130
West Lake Hills, TX 78746-6574 - Phone
- (512) 567-5454
- Fax
- (512) 306-9234
- NPI assigned
- Oct 4, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 33558 | TX | Primary |
Addresses
Primary practice location
1301 S Capital of Texas Hwy
BLDG C, Ste. 130
West Lake Hills, TX 78746-6574
Mailing address
1301 S Capital of Texas Hwy
BLDG. C, Ste 130
West Lake Hills, TX 78746-6574
Phone (512) 567-5454
Other names 1
- Mary Bade Andre
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33558 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1336337260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 S CAPITAL OF TEXAS HWY",
"address_2": "BLDG. C, STE 130",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466574",
"telephone_number": "512-567-5454",
"fax_number": "512-306-9234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S CAPITAL OF TEXAS HWY",
"address_2": "BLDG C, STE. 130",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466574",
"telephone_number": "512-567-5454",
"fax_number": "512-306-9234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADE",
"first_name": "MARY",
"middle_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-04",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "33558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "ANDRE",
"middle_name": "BADE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.