Active NPI
Tanya Jo Ault-Hayslip, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1477995017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67760
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 67760 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Counselor
- Austin, TX
- NPI 1417766643
-
dba Counselors of Texas
- Mental Health Counselor
- Austin, TX
- NPI 1942890140
Professional
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.