Active NPI
Alexander Leerburger-Mahl, LPC, NCC
- Professional Counselor
- Austin, TX
National Provider Identifier
1760196554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 85972
- Practice address
- 8500 N Mopac Expy Ste 601
Austin, TX 78759-8347 - Phone
- (512) 527-3275
- NPI assigned
- Jan 6, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 85972 | TX | Primary |
Addresses
Primary practice location
8500 N Mopac Expy Ste 601
Austin, TX 78759-8347
Mailing address
8500 N Mopac Expy Ste 601
Austin, TX 78759-8347
Phone (512) 527-3275
Other practice location 1
4505 DuVal St Apt 210
Austin, TX 78751-3233
Phone (410) 980-0744
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85972 | TX | MD | Professional Counselor |
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": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1760196554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8500 N MOPAC EXPY STE 601",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598347",
"telephone_number": "512-527-3275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 N MOPAC EXPY STE 601",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598347",
"telephone_number": "512-527-3275"
}
],
"practiceLocations": [
{
"address_1": "4505 DuVal St Apt 210",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787513233",
"country_code": "US",
"telephone_number": "410-980-0744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEERBURGER-MAHL",
"first_name": "ALEXANDER",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "85972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.