Active NPI
Charles Thomas Cansler, LPC
- Mental Health Counselor
- Lakeway, TX
National Provider Identifier
1740448406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11235
- Practice address
- 12 Casa Verde
Lakeway, TX 78734-3412 - Phone
- (512) 627-8611
- NPI assigned
- May 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11235 | TX | Primary |
Addresses
Primary practice location
12 Casa Verde
Lakeway, TX 78734-3412
Mailing address
12 Casa Verde
Lakeway, TX 78734-3412
Phone (512) 627-8611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095371301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11235 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1740448406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CASA VERDE",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787343412",
"telephone_number": "512-627-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CASA VERDE",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787343412",
"telephone_number": "512-627-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANSLER",
"first_name": "CHARLES",
"middle_name": "THOMAS",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-29",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "11235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "095371301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.