Active NPI
Liana Mauro, LPC
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1639936008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 90963
- Practice address
- 2525 Wallingwood Dr BLDG 12
Austin, TX 78746-6932 - Phone
- (512) 222-8551
- NPI assigned
- Mar 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 90963 | TX | Primary |
Addresses
Primary practice location
2525 Wallingwood Dr BLDG 12
Austin, TX 78746-6932
Mailing address
2525 Wallingwood Dr BLDG 12
Austin, TX 78746-6932
Phone (512) 222-8551
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 |
|---|---|---|---|
| 90963 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlisle Collective | Mental Health | Current | Accepting new patients |
Locations
2525 Wallingwood Dr
Bldg 12
Austin, TX 78746
Phone (512) 222-8551
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1639936008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 WALLINGWOOD DR BLDG 12",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466932",
"telephone_number": "512-222-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 WALLINGWOOD DR BLDG 12",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466932",
"telephone_number": "512-222-8551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURO",
"first_name": "LIANA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "90963",
"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 Nov 14, 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.