Active NPI
Angela Funke, LMFT-S
- Marriage & Family Therapist
- Austin, TX
National Provider Identifier
1417368291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201661
- Practice address
- 1907 N Lamar Blvd
Suite 352
Austin, TX 78705-4992 - Phone
- (512) 466-2239
- NPI assigned
- May 14, 2014
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 201661 | TX | Primary |
Addresses
Primary practice location
1907 N Lamar Blvd
Suite 352
Austin, TX 78705-4992
Mailing address
713 Sheraton Ave
Austin, TX 78745-2043
Phone (512) 466-2239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 19, 2026 through Mar 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201661 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1417368291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 SHERATON AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787452043",
"telephone_number": "512-466-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 N LAMAR BLVD",
"address_2": "SUITE 352",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787054992",
"telephone_number": "512-466-2239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNKE",
"first_name": "ANGELA",
"credential": "LMFT-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201661",
"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 Mar 29, 2017; 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.