Individual provider Active NPI

Teresa Jo Lee Noack, MA, LPC-A

  • Professional Counselor
  • Amarillo, TX
National Provider Identifier
1669261756
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
93284 Issued in TX
Practice address
6100 SW 45TH Ave Apt 321
Amarillo, TX 79109-5164
Phone
(575) 749-3290
Fax
(575) 749-3290
NPI assigned
May 5, 2025
Last updated
May 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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 93284 TX Primary

Addresses

Primary practice location

6100 SW 45TH Ave Apt 321
Amarillo, TX 79109-5164

Mailing address

6100 SW 45TH Ave Apt 321
Amarillo, TX 79109-5164
Phone (575) 749-3290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5014 Barlow Dr
Round Rock, TX 78681-5531

6101 W Courtyard Dr
Suite 2 225
Austin, TX 78730-5044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
93284TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1669261756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SW 45TH AVE APT 321",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095164",
            "telephone_number": "575-749-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 SW 45TH AVE APT 321",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095164",
            "telephone_number": "575-749-3290",
            "fax_number": "575-749-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOACK",
        "first_name": "TERESA",
        "middle_name": "JO LEE",
        "credential": "MA, LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.