Individual provider Active NPI

Taylor Kay Nowakowski, LPC

  • Counselor
  • Austin, TX
National Provider Identifier
1679192702
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
80206 Issued in TX
Practice address
9390 Research Boulevard
Kaleido Building II, Suite 200
Austin, TX 78759-6583
Phone
(512) 466-6956
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 80206 TX Primary

Addresses

Primary practice location

9390 Research Boulevard
Kaleido Building II, Suite 200
Austin, TX 78759-6583

Mailing address

18341 Tall Grass Prairie Dr
Pflugerville, TX 78660-2391
Phone (512) 466-6956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 31, 2024 through May 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
80206TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1679192702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18341 TALL GRASS PRAIRIE DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602391",
            "telephone_number": "512-466-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 RESEARCH BOULEVARD",
            "address_2": "KALEIDO BUILDING II, SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787596583",
            "telephone_number": "512-466-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAKOWSKI",
        "first_name": "TAYLOR",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "80206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.