Individual provider Active NPI

Teale Janysek, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1396450623
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71001 Issued in TX
Practice address
4220 Monterey Oaks Blvd
Austin, TX 78749-1170
Phone
(918) 605-3909
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 61750 OK
Professional Counselor 101YP2500X 71001 TX Primary

Addresses

Primary practice location

4220 Monterey Oaks Blvd
Austin, TX 78749-1170

Mailing address

948 Long Creek Blvd
New Braunfels, TX 78130-8298
Phone (918) 605-3909

Other practice location 1

8105 Shoal Creek Blvd
Austin, TX 78757-8040
Phone (512) 524-5482

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
61750OKMDRecreation Therapist

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1396450623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 LONG CREEK BLVD",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781308298",
            "telephone_number": "918-605-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 MONTEREY OAKS BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491170",
            "telephone_number": "918-605-3909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8105 Shoal Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787578040",
            "country_code": "US",
            "telephone_number": "512-524-5482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANYSEK",
        "first_name": "TEALE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "OK",
            "license": "61750",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.