Myron Conrad Sloat Jr., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

16785 Issued in TX

Practice address

1100 Round Rock Ave
Ste 107B
Round Rock, TX 78681-4511

Phone

(512) 773-3236

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720005473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16617 DALMAHOY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175514",
            "telephone_number": "512-773-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROUND ROCK AVE",
            "address_2": "STE 107B",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814511",
            "telephone_number": "512-773-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAT",
        "first_name": "MYRON",
        "middle_name": "CONRAD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.