Kelly E Nowotny, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

64120 Issued in TX

Practice address

12319 Willow Wild Dr Ste B
Austin, TX 78758-2725

Phone

(512) 470-3539

Fax

(512) 837-3131

NPI assigned

Feb 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional, TX

  Medicare reassignment NPD
• Spine in Line Chiropractic and Rehabilitation, PC

  • Chiropractor
  • Round Rock, TX
  • NPI 1033547179
  NPD (past)
• Viesca Therapeutic Services, PLLC

  • Clinical Social Worker
  • Round Rock, TX
  • NPI 1700492204
  NPD (past)

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1740420298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8613 ROCK PIGEON DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787298086",
            "telephone_number": "512-470-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12319 WILLOW WILD DR STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582725",
            "telephone_number": "512-470-3539",
            "fax_number": "512-837-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWOTNY",
        "first_name": "KELLY",
        "middle_name": "E",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "64120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208050902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamal Andrew Nowlin, MD
• John H Nowlin
• Scott Warren Nowlin, MD
• Seth Lawrence Nowlin, LMSW
• Nowling Home Healthcare Inc
• Rose M Nowotny, LCSW
• NR2 LLC (Acti-Kare Responsive In-Home Care)
• NS3 Health
• NSTX, Inc
• NSTX, Inc

• Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.