Individual provider Active NPI

Edith Hernandez Putt, LPC

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1508938663
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17737 Issued in TX
Practice address
10405 E Northwest Hwy
Suite 303
Dallas, TX 75238-4619
Phone
(214) 341-1400
Fax
(214) 341-1373
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17737 TX Primary

Addresses

Primary practice location

10405 E Northwest Hwy
Suite 303
Dallas, TX 75238-4619

Mailing address

10405 E Northwest Hwy
Suite 303
Dallas, TX 75238-4619
Phone (214) 341-1400

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
17737TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Edie Hernandez Putt, Psy D, LPC-PC Mental Health Past 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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1508938663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 E NORTHWEST HWY",
            "address_2": "SUITE 303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384619",
            "telephone_number": "214-341-1400",
            "fax_number": "214-341-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10405 E NORTHWEST HWY",
            "address_2": "SUITE 303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384619",
            "telephone_number": "214-341-1400",
            "fax_number": "214-341-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ PUTT",
        "first_name": "EDITH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.