Active NPI
Emily Suzanne Pencis, NONE
- Student in an Organized Health Care Education/Training Program
- Austin, TX
National Provider Identifier
1598556706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- NONE
- Practice address
- 1213 W Slaughter LN Ste 130
Austin, TX 78748-6904 - Phone
- (512) 632-9451
- NPI assigned
- May 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NONE | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NONE | TX | Primary |
Addresses
Primary practice location
1213 W Slaughter LN Ste 130
Austin, TX 78748-6904
Mailing address
1213 W Slaughter LN Ste 130
Austin, TX 78748-6904
Phone (512) 201-4501
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
| License | State | Type | Specialty |
|---|---|---|---|
| NONE | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1598556706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 W SLAUGHTER LN STE 130",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787486904",
"telephone_number": "512-201-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 W SLAUGHTER LN STE 130",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787486904",
"telephone_number": "512-632-9451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENCIS",
"first_name": "EMILY",
"middle_name": "SUZANNE",
"credential": "NONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-15",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "NONE",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "NONE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.