Individual provider Active NPI

Charles Alan Miears, LPC

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1730201658
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11253 Issued in TX
Practice address
13740 N Highway 183
Sutie H-1
Austin, TX 78750-1884
Phone
(512) 779-2903
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11253 TX Primary

Addresses

Primary practice location

13740 N Highway 183
Sutie H-1
Austin, TX 78750-1884

Mailing address

13740 N Highway 183
Sutie H-1
Austin, TX 78750-1884
Phone (512) 779-2903

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
I20251211004039 TX Practitioner - Mental Health Counselor 1658865084 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13740 Research Blvd
Suite F3
Austin, TX 78750

13740 Research Blvd
Suite F3
Austin, TX 78750-1821
Phone (512) 779-2903

308 E Davilla St
Bartlett, TX 76511-4108

3615 Cornerstone St
Round Rock, TX 78681-3708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11253TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730201658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13740 N HIGHWAY 183",
            "address_2": "SUTIE H-1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501884",
            "telephone_number": "512-779-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13740 N HIGHWAY 183",
            "address_2": "SUTIE H-1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501884",
            "telephone_number": "512-779-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIEARS",
        "first_name": "CHARLES",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "11253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.