NPIMap

Organization Active NPI

Waterloo Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Austin, TX
National Provider Identifier
1457529851
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WATERLOO COUNSELING CENTER, INC.
Practice address
314 East Highland Mall Blvd.
Suite 301
Austin, TX 78752
Phone
(512) 444-9922
Fax
(512) 444-9926
NPI assigned
Feb 19, 2008
Last updated
Oct 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Ms. Loretta Holland
Title
Executive Director
Phone
(512) 444-9922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

314 East Highland Mall Blvd.
Suite 301
Austin, TX 78752

Mailing address

314 East Highland Mall Blvd.
Suite 301
Austin, TX 78752
Phone (512) 444-9922

National Provider Directory

National Provider Directory

Locations

314 E Highland Mall Blvd
Ste 301
Austin, TX 78752
Phone (512) 444-9922

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1457529851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 EAST HIGHLAND MALL BLVD.",
            "address_2": "SUITE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78752",
            "telephone_number": "512-444-9922",
            "fax_number": "512-444-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 EAST HIGHLAND MALL BLVD.",
            "address_2": "SUITE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78752",
            "telephone_number": "512-444-9922",
            "fax_number": "512-444-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLOO COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "512-444-9922",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "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 Oct 24, 2014; 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.