Active NPI
Susan Nazar, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1497213698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 79445
- Practice address
- 4603 Palisade Dr
Austin, TX 78731-4509 - Phone
- (512) 413-9522
- NPI assigned
- Mar 6, 2019
- 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 | 79445 | TX | Primary |
Addresses
Primary practice location
4603 Palisade Dr
Austin, TX 78731-4509
Mailing address
4603 Palisade Dr
Austin, TX 78731-4509
Phone (512) 413-9522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79445 | Other | TX | LICENSED PROFESSIONAL COUNSELOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 21, 2024 through Aug 21, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79445 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1497213698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4603 PALISADE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314509",
"telephone_number": "512-413-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4603 PALISADE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314509",
"telephone_number": "512-413-9522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZAR",
"first_name": "SUSAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2024-09-09",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "79445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "79445",
"state": "TX"
}
],
"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 Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.