Active NPI
Tristi L. Patterson, LPC
- Professional Counselor
- San Angelo, TX
National Provider Identifier
1679864839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62169
- Practice address
- 2202 Carlton Way
San Angelo, TX 76901-4203 - Phone
- (325) 374-5069
- NPI assigned
- Apr 22, 2011
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62169 | TX | Primary |
Addresses
Primary practice location
2202 Carlton Way
San Angelo, TX 76901-4203
Mailing address
2202 Carlton Way
San Angelo, TX 76901-4203
Phone (325) 374-5069
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 |
|---|---|---|---|
| 62169 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1679864839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 CARLTON WAY",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769014203",
"telephone_number": "325-374-5069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 CARLTON WAY",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769014203",
"telephone_number": "325-374-5069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "TRISTI",
"middle_name": "L.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-22",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.