Active NPI
Carolyn Poole, MED., LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1396957775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12208
- Practice address
- 2525 Wallingwood Dr
BLDG. 3, Suite 301
Austin, TX 78746-6900 - Phone
- (512) 327-2272
- NPI assigned
- May 5, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12208 | TX | Primary |
Addresses
Primary practice location
2525 Wallingwood Dr
BLDG. 3, Suite 301
Austin, TX 78746-6900
Mailing address
450 Pioneer TRL
Dripping Springs, TX 78620-3313
Phone (512) 327-2272
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12208 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396957775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 PIONEER TRL",
"city": "DRIPPING SPRINGS",
"state": "TX",
"postal_code": "786203313",
"telephone_number": "512-327-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 WALLINGWOOD DR",
"address_2": "BLDG. 3, SUITE 301",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466900",
"telephone_number": "512-327-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "CAROLYN",
"name_prefix": "Ms.",
"credential": "MED., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "12208",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.