Active NPI
Elizabeth Muto, LPC, LCDC
- Professional Counselor
- Plano, TX
National Provider Identifier
1336864792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 71731
- Practice address
- 2800 E Spring Creek Pkwy # D135
Plano, TX 75074-3300 - Phone
- (972) 948-6840
- NPI assigned
- Oct 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12381 | TX | |
| Professional Counselor | 101YP2500X | 71731 | TX | Primary |
Addresses
Primary practice location
2800 E Spring Creek Pkwy # D135
Plano, TX 75074-3300
Mailing address
1809 Rainbow Dr
Richardson, TX 75081-4712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231228003310 | TX | Practitioner - Mental Health Counselor | 1153771449 | Practice locations: Dallas, TX; Richardson, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10300 N Central Expy
Suite 325
Dallas, TX 75231-8657
Phone (469) 606-9471
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71731 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1336864792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 RAINBOW DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750814712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E SPRING CREEK PKWY # D135",
"city": "PLANO",
"state": "TX",
"postal_code": "750743300",
"telephone_number": "972-948-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTO",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LPC, LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-07",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "12381",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "71731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.