Individual provider Active NPI

Hunter Ward

  • Counselor
  • Austin, TX
National Provider Identifier
1700648516
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
92498 Issued in TX
Practice address
1205 W 43Rd St
Austin, TX 78756-3301
Phone
(512) 710-7645
NPI assigned
Jan 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 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 92498 TX Primary

Addresses

Primary practice location

1205 W 43Rd St
Austin, TX 78756-3301

Mailing address

1701 Broadmoor Dr
Austin, TX 78723-3401

Other practice location 1

1206 W 43rd St
Austin, TX 78756-3302
Phone (512) 710-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 16, 2026 through Mar 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
92498TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Therapy, PLLC CurrentSince Jan 2, 2022 Accepting new patients

Locations

1205 W 43rd St
Austin, TX 78756
Phone (512) 660-9611

1206 W 43rd St
Austin, TX 78756
Phone (512) 660-9611

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1700648516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BROADMOOR DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W 43RD ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563301",
            "telephone_number": "512-710-7645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 W 43rd St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787563302",
            "country_code": "US",
            "telephone_number": "512-710-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "HUNTER",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "92498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.