Active NPI
Tessa Noonan
- Professional Counselor
- Austin, TX
National Provider Identifier
1609239656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 72249
- Practice address
- 1600 Payton Gin Rd
Austin, TX 78758-6506 - Phone
- (512) 836-2150
- NPI assigned
- Mar 29, 2016
- 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 | 72249 | TX | Primary |
Addresses
Primary practice location
1600 Payton Gin Rd
Austin, TX 78758-6506
Mailing address
1600 Payton Gin Rd
Austin, TX 78758-6506
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 |
|---|---|---|---|
| 72249 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1609239656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PAYTON GIN RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787586506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 PAYTON GIN RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787586506",
"telephone_number": "512-836-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONAN",
"first_name": "TESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "72249",
"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 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.