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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39002301A | IN | MD | Mental Health Counselor |
| 71668 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Path Forward Co, PLLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Thomas Kanjapalill Kurian
- Amy Kurimsky
- Haley Marie Kurns-Dunn
- Courtney Alison Kurtz
- Patrick Okey Kurunwune Sr.
- Kristin R. Kurz
- Joyce Kutcher
- Jessica Watson Kutner
- Kaveesh Kutty
- Kamen Kutzarov
All providers in Austin, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.