Active NPI
Debra Ann Wysoski, LPC
- Professional Counselor
- Arlington, TX
National Provider Identifier
1760726756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 59943
- Practice address
- 803 Stadium Dr
Suite 101
Arlington, TX 76011-6246 - Phone
- (817) 501-4925
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 59943 | TX | Primary |
Addresses
Primary practice location
803 Stadium Dr
Suite 101
Arlington, TX 76011-6246
Mailing address
2100 Emerald Lake Dr
Arlington, TX 76013-5216
Phone (817) 457-2359
Other names 1
- Debra Ann Martin
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1760726756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 EMERALD LAKE DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760135216",
"telephone_number": "817-457-2359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 STADIUM DR",
"address_2": "SUITE 101",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760116246",
"telephone_number": "817-501-4925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYSOSKI",
"first_name": "DEBRA",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "59943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "MARTIN",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.