Individual provider Active NPI

Austin Paul Bray, M.A., LPC-I

  • Counselor
  • Waco, TX
National Provider Identifier
1457875080
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
77120 Issued in TX
Practice address
185 Eastgate PLZ
Waco, TX 76705-2868
Phone
(254) 412-2667
Fax
(254) 799-5768
NPI assigned
Jul 25, 2017
Last updated
Jul 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 77120 TX Primary

Addresses

Primary practice location

185 Eastgate PLZ
Waco, TX 76705-2868

Mailing address

7870 Querida LN
Dallas, TX 75248-3151
Phone (469) 562-8284

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
77120TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1457875080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7870 QUERIDA LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483151",
            "telephone_number": "469-562-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 EASTGATE PLZ",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767052868",
            "telephone_number": "254-412-2667",
            "fax_number": "254-799-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "AUSTIN",
        "middle_name": "PAUL",
        "credential": "M.A., LPC-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "77120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.