Individual provider Active NPI

Elizabeth Muto, LPC, LCDC

  • Professional Counselor
  • Plano, TX
National Provider Identifier
1336864792
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71731 Issued in TX
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

Updated by the provider on Oct 19, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
71731TXMDProfessional 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

Verify at the official NPI Registry.