Active NPI
Ellen Fredericks Almanzan, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1609209121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74247
- Practice address
- 5184 W Highway 290 Ste a
Austin, TX 78735-8914 - Phone
- (512) 766-7790
- NPI assigned
- Aug 20, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 74247 | TX | Primary |
Addresses
Primary practice location
5184 W Highway 290 Ste a
Austin, TX 78735-8914
Mailing address
315 Crater Lake Dr
Pflugerville, TX 78660-5899
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74247 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1609209121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 CRATER LAKE DR",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786605899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5184 W HIGHWAY 290 STE A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787358914",
"telephone_number": "512-766-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALMANZAN",
"first_name": "ELLEN",
"middle_name": "FREDERICKS",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-20",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74247",
"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 Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.