Individual provider Active NPI

Susanne Slay, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1659599751
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
01175 Issued in TX
Practice address
2301 W Anderson LN Ste 103
Austin, TX 78757-1249
Phone
(512) 374-1030
Fax
(512) 374-1566
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 01175 TX Primary

Addresses

Primary practice location

2301 W Anderson LN Ste 103
Austin, TX 78757-1249

Mailing address

2301 W Anderson LN Ste 103
Austin, TX 78757-1249
Phone (512) 374-1030

Other identifiers 1

IdentifierTypeStateIssuer
2206LCOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001001806 TX Practitioner - Mental Health Counselor 6608307764 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1800 Wooten Dr
Austin, TX 78757-8332

6633 E Hwy 290
Suite 212
Austin, TX 78723-1111
Phone (512) 470-0104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01175TXMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659599751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W ANDERSON LN STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571249",
            "telephone_number": "512-374-1030",
            "fax_number": "512-374-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W ANDERSON LN STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571249",
            "telephone_number": "512-374-1030",
            "fax_number": "512-374-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAY",
        "first_name": "SUSANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "01175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2206LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.