Organization Active NPI

Counseling for Athletes PLLC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1679210686
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COUNSELING FOR ATHLETES PLLC
Practice address
2520 Longview St Ste 212
Austin, TX 78705-4201
Phone
(512) 176-0706
NPI assigned
May 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Elise Nicole Keoghan, LPCNPI 1073177556
Title
Therapist
Phone
(512) 617-0706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2520 Longview St Ste 212
Austin, TX 78705-4201

Mailing address

PO Box 143942
Austin, TX 78714-3942
Phone (830) 708-0501

National Provider Directory

National Provider Directory
Tax ID family
Counseling for Athletes PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1679210686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143942",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787143942",
            "telephone_number": "830-708-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 LONGVIEW ST STE 212",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787054201",
            "telephone_number": "512-176-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING FOR ATHLETES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "KEOGHAN",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "512-617-0706",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "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 Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.