Individual provider Active NPI

Tanya Jo Ault-Hayslip, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1477995017
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67760 Issued in TX
Practice address
711 W 38TH St Ste B2
Austin, TX 78705
Phone
(512) 507-0342
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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 67760 TX Primary

Addresses

Primary practice location

711 W 38TH St Ste B2
Austin, TX 78705

Mailing address

4121 Seldalia TRL
Austin, TX 78732-2193
Phone (512) 507-3420

Other practice location 1

7504 Bennett Ave
Unit A
Austin, TX 78752-1608
Phone (512) 507-0342

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

LicenseStateTypeSpecialty
67760TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Open Space Counseling, LLC Current Accepting new patients
Side by Side Counseling Professional Past Accepting new patients

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": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1477995017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 SELDALIA TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787322193",
            "telephone_number": "512-507-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST STE B2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-507-0342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7504 Bennett Ave",
            "address_2": "Unit A",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787521608",
            "country_code": "US",
            "telephone_number": "512-507-0342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AULT-HAYSLIP",
        "first_name": "TANYA",
        "middle_name": "JO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67760",
            "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 Jun 25, 2019; 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.