Through the Mirror Therapy PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THROUGH THE MIRROR THERAPY PLLC

Practice address

618 Comal Ave BLDG B-1
New Braunfels, TX 78130-7600

Phone

(512) 650-5042

NPI assigned

Jul 6, 2021

Last updated

Jul 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey Carlton, LPC

Title

Member

Phone

(512) 650-5042

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1447821053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 COMAL AVE BLDG B-1",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307600",
            "telephone_number": "512-650-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 COMAL AVE BLDG B-1",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307600",
            "telephone_number": "512-650-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THROUGH THE MIRROR THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-11",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "512-650-5042",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415111010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Thompson
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• Kelsi Nicole Thornton, LPC-A
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• John Michael Tieman, M.D.
• Noah Tiemeyer, DPT
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• Dyllan Tindol, PA-C

• Professional Counselor in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.