Individual provider Active NPI

Michael Watson

  • Professional Counselor
  • Killeen, TX
National Provider Identifier
1760146278
Registry record updated Oct 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83519 Issued in TX
Practice address
3300 E Central Texas Expy Ste 301
Killeen, TX 76543-5674
Phone
(254) 213-9348
Fax
(254) 442-0149
NPI assigned
Oct 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 83519 TX Primary

Addresses

Primary practice location

3300 E Central Texas Expy Ste 301
Killeen, TX 76543-5674

Mailing address

3300 E Central Texas Expy Ste 301
Killeen, TX 76543-5674
Phone (254) 442-0149

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.Butterfliesprosperingwellness.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
83519TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Butterflies Prospering Wellness Co. Professional PastSince Nov 9, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1760146278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E CENTRAL TEXAS EXPY STE 301",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435674",
            "telephone_number": "254-442-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E CENTRAL TEXAS EXPY STE 301",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435674",
            "telephone_number": "254-213-9348",
            "fax_number": "254-442-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-30",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.Butterfliesprosperingwellness.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3300 E Central Texas Expy Ste 301",
            "city": "Killeen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765435674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; 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.