Active NPI
Natalia Vera Mirkowicz, M.A.
- Counselor
- Austin, TX
National Provider Identifier
1497310882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 202971
- Practice address
- 612B W 22ND St
Austin, TX 78705-5116 - Phone
- (512) 645-2249
- NPI assigned
- May 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 77749 | TX | |
| Counselor | 101Y00000X | 202971 | TX | Primary |
Addresses
Primary practice location
612B W 22ND St
Austin, TX 78705-5116
Mailing address
1741 Spyglass Dr Apt 300
Austin, TX 78746-7946
Phone (214) 392-1992
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
| License | State | Type | Specialty |
|---|---|---|---|
| 202971 | TX | MD | Counselor |
| 77749 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NVM Therapy PLLC | Professional | Current | Accepting new patients |
Organizations & group practices 1
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": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1497310882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 SPYGLASS DR APT 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787467946",
"telephone_number": "214-392-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612B W 22ND ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787055116",
"telephone_number": "512-645-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRKOWICZ",
"first_name": "NATALIA",
"middle_name": "VERA",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-01",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "77749",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "202971",
"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 May 1, 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.