Active NPI
Stella Masterson, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1457029340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74602
- Practice address
- 2021 Guadalupe St
Suite 260
Austin, TX 78705 - Phone
- (512) 643-5775
- NPI assigned
- Sep 3, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | TX | ||
| Professional Counselor | 101YP2500X | 74602 | TX | Primary |
Addresses
Primary practice location
2021 Guadalupe St
Suite 260
Austin, TX 78705
Mailing address
6001 W. Parmer LN
Ste 370 #576
Austin, TX 78727
Phone (512) 643-5775
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 |
|---|---|---|---|
| 74602 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1457029340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 W. PARMER LN",
"address_2": "STE 370 #576",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78727",
"telephone_number": "512-643-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 GUADALUPE ST",
"address_2": "SUITE 260",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78705",
"telephone_number": "512-643-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERSON",
"first_name": "STELLA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2021-09-03",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74602",
"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 Sep 3, 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.