Patricia Kottaridis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

83388 Issued in TX

Practice address

6102 Asa Dr Unit a
Austin, TX 78744-6641

Phone

(720) 593-0751

NPI assigned

Jun 13, 2017

Last updated

Feb 1, 2020By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Care Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1790141984
  NPD

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580515200000",
    "number": "1538699541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 ASA DR UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787446641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 ASA DR UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787446641",
            "telephone_number": "720-593-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTARIDIS",
        "first_name": "PATRICIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supriya Sharma Kothavale, D.O.
• Elizabeth Dorothy Kotin, LP
• Kotobi & Associates, LLC (Homewatch CareGivers of Austin Lakeway)
• Alexandra Kotochigov
• Blair Kott
• Taylor Marie Kotzo
• Jill M. Koudelka, LPC, LMFT
• Chadi Kouka
• Velitchka H Kouneva-Skerleva, PA-C
• Andrew Kouns

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.