Individual provider Active NPI

James Todd Riddle, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1720219132
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62357 Issued in TX
Practice address
1704 1/2 S Congress Ave Ste L
Austin, TX 78704-3557
Phone
(512) 326-4040
NPI assigned
Aug 3, 2009
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 62357 TX Primary

Addresses

Primary practice location

1704 1/2 S Congress Ave Ste L
Austin, TX 78704-3557

Mailing address

1704 1/2 S Congress Ave Ste L
Austin, TX 78704-3557
Phone (512) 326-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229001456 TX Practitioner - Mental Health Counselor 3577908524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Counseling Associates PLLCGroup PAC ID 7113362161, 2 clinicians

Practice addresses (Care Compare)

1704 /2 S Congress Ave
Suite L
Austin, TX 78704-3557
Phone (512) 326-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Counseling Associates PLLC Professional CurrentSince Jan 16, 2024 Accepting new patients

Locations

1704 S Congress Ave
Ste L
Austin, TX 78704
Phone (512) 309-0339

2323 S Voss Rd
Ste 125A
Houston, TX 77057
Phone (512) 669-8438

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1720219132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 1/2 S CONGRESS AVE STE L",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043557",
            "telephone_number": "512-326-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 1/2 S CONGRESS AVE STE L",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043557",
            "telephone_number": "512-326-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "JAMES",
        "middle_name": "TODD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-03",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.