Active NPI
Alison E Pourteau, LPC-S
- Mental Health Counselor
- Bryan, TX
National Provider Identifier
1407013089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 61257
- Practice address
- 3608 E 29TH St
Ste 206
Bryan, TX 77802-3849 - Phone
- (979) 217-1315
- NPI assigned
- May 21, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 61257 | TX | Primary |
Addresses
Primary practice location
3608 E 29TH St
Ste 206
Bryan, TX 77802-3849
Mailing address
PO Box 11004
College Station, TX 77842-1004
Phone (979) 217-1315
Other names 1
- Alison E Cohn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 24, 2024 through Nov 24, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61257 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1407013089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11004",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778421004",
"telephone_number": "979-217-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3608 E 29TH ST",
"address_2": "STE 206",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023849",
"telephone_number": "979-217-1315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POURTEAU",
"first_name": "ALISON",
"middle_name": "E",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "61257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALISON",
"last_name": "COHN",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.