NPIMap

Organization Active NPI

J and M Etccc. Inc

  • Counselor
  • Georgetown, TX
National Provider Identifier
1538398516
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
12569 Issued in TX
Legal business name
J AND M ETCCC. INC
Practice address
105 E Janis Dr
Georgetown, TX 78628-3615
Phone
(512) 591-7130
NPI assigned
Jul 10, 2009
Last updated
Jul 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
Michael Dave Halligan, LPCNPI 1790943561
Title
Owner
Phone
(512) 591-7130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 12569 TX Primary

Addresses

Primary practice location

105 E Janis Dr
Georgetown, TX 78628-3615

Mailing address

105 E Janis Dr
Georgetown, TX 78628-3615
Phone (512) 591-7130

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1538398516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E JANIS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283615",
            "telephone_number": "512-591-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E JANIS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283615",
            "telephone_number": "512-591-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J AND M ETCCC. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "HALLIGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-591-7130",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "12569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.