Individual provider Active NPI

Christina J. Mason, M.S.

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1457479693
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15261 Issued in TX
Practice address
5617 Adams Ave
Unit a
Austin, TX 78756-1102
Phone
(512) 619-6844
Fax
(512) 454-2284
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 15261 TX Primary

Addresses

Primary practice location

5617 Adams Ave
Unit a
Austin, TX 78756-1102

Mailing address

5617 Adams Ave
Unit a
Austin, TX 78756-1102
Phone (512) 619-6844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326004373 TX Practitioner - Mental Health Counselor 1355788266 Practice locations: Austin, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15261TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457479693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 ADAMS AVE",
            "address_2": "UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561102",
            "telephone_number": "512-619-6844",
            "fax_number": "512-454-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 ADAMS AVE",
            "address_2": "UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561102",
            "telephone_number": "512-619-6844",
            "fax_number": "512-454-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "CHRISTINA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.