Sydney Rachael Kudeviz, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

63791 Issued in TX

Practice address

601 Farley Dr
Austin, TX 78753-3114

Phone

(512) 387-1398

NPI assigned

Jan 16, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 15, 2024 through Feb 15, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1497460372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 TUXFORD CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536829",
            "telephone_number": "703-945-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FARLEY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533114",
            "telephone_number": "512-387-1398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 W Slaughter Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787486900",
            "country_code": "US",
            "telephone_number": "512-825-1508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUDEVIZ",
        "first_name": "SYDNEY",
        "middle_name": "RACHAEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "63791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kubisky
• Kylie Kuck, RD, LD
• Melissa Kuck, OTR/L
• Karli Kucko, LPC
• Michelle Susan Kuczkowski, APRN, FNP-C
• Ashley Pahzoua Kue, OD
• Olivia Kuebler, RBT
• Kathleen Dean Kueck, M.D.
• Kasey D Kuehler, M.A., L.P.C.
• Dina Kuempel, M.ED, COTA

• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.

Verify at the official NPI Registry.