Active NPI
Collin Speciale
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1447883384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 73949
- Practice address
- 6115 Mountain Villa CV
Austin, TX 78731-3518 - Phone
- (325) 450-3014
- NPI assigned
- Feb 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12614 | TX | |
| Mental Health Counselor | 101YM0800X | 73949 | TX | Primary |
Addresses
Primary practice location
6115 Mountain Villa CV
Austin, TX 78731-3518
Mailing address
6115 Mountain Villa CV
Austin, TX 78731-3518
Phone (325) 450-3014
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73949 | TX | MD | Mental Health Counselor |
| 12614 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1447883384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6115 MOUNTAIN VILLA CV",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313518",
"telephone_number": "325-450-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6115 MOUNTAIN VILLA CV",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313518",
"telephone_number": "325-450-3014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPECIALE",
"first_name": "COLLIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "12614",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "73949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Julie Latimer Spears, LCSW
- Sonia Yvonne Spears, M.S., CCC-SLP
- Ted D Spears, M.D.
- Special Care Optometry of TX PC
- Special Care Podiatry of TX PC
- Specialty Clinic Medical Group, PLLC
- Specialty Clinic Medical Group, PLLC
- Specialty Clinic of Austin PA
- Specialty Dental Partners of Austin PLLC
- Specialty Prosthetic & Orthotics of Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.