Melissa Kurup, LPC-S

Individual provider Active NPI Mental Health Counselor · Austin, TX

NPI 1598049504 · NPPES record last updated Feb 22, 2019

Key facts

NPI
1598049504
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
71668 (TX)
Practice address
13740 Research Blvd Ste G3
Austin, TX 78750-1821
Phone
(773) 968-1641
NPI assigned
Oct 10, 2011
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
39002301AINMDMental Health Counselor
71668TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Path Forward Co, PLLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002301A IN
Mental Health Counselor 101YM0800X 71668 TX Yes

Addresses

Primary practice location

13740 Research Blvd Ste G3
Austin, TX 78750-1821

Mailing address

13740 Research Blvd Ste G3
Austin, TX 78750-1821
Phone (773) 968-1641

Other providers in Austin, TX

All providers in Austin, TX · Mental Health Counselor in Texas

Sources for this page

Verify at the official NPI Registry.