Individual provider Active NPI

Michael Donovan Cunyus, LPC

  • Professional Counselor
  • Nacogdoches, TX
National Provider Identifier
1477366789
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13986 Issued in TX
Practice address
3824 N University Dr
Nacogdoches, TX 75965-2011
Phone
(936) 558-6200
NPI assigned
Jan 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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 13986 TX Primary

Addresses

Primary practice location

3824 N University Dr
Nacogdoches, TX 75965-2011

Mailing address

2001 S Medford Dr
Lufkin, TX 75901-6260
Phone (936) 639-1141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13986TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Burke Center CurrentSince Jan 31, 2025 Accepting new patients
Burke Center Past Accepting new patients

Locations

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

2001 S Medford Dr
#D
Lufkin, TX 75901

3824 N University Dr
Nacogdoches, TX 75965
Phone (936) 558-6200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1477366789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016260",
            "telephone_number": "936-639-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652011",
            "telephone_number": "936-558-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNYUS",
        "first_name": "MICHAEL",
        "middle_name": "DONOVAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.