Individual provider Active NPI

Therese Fuh, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Austin, TX
National Provider Identifier
1508517335
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13412 Issued in TX
Practice address
7004 Bee Caves Rd Ste 2-200
Austin, TX 78746-5087
Phone
(512) 306-1394
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13412 TX Primary

Addresses

Primary practice location

7004 Bee Caves Rd Ste 2-200
Austin, TX 78746-5087

Mailing address

7004 Bee Caves Rd Ste 2-200
Austin, TX 78746-5087
Phone (512) 306-1394

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.sagerecoveryaustin.com Sage Recovery and Wellness Center

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
13412TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Recovery & Wellness Center PastSince Jan 21, 2022 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": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1508517335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 BEE CAVES RD STE 2-200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465087",
            "telephone_number": "512-306-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 BEE CAVES RD STE 2-200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465087",
            "telephone_number": "512-306-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUH",
        "first_name": "THERESE",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sagerecoveryaustin.com",
            "affiliation": "Y",
            "affiliationName": "Sage Recovery and Wellness Center",
            "address_1": "7004 Bee Caves Rd Ste 2-200",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787465087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 13, 2022; 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.