SGM Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SGM COUNSELING PLLC

Practice address

604 W 35TH St
Austin, TX 78705-1207

Phone

(512) 720-9956

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Shelley Gauntt Moeller, LMFT

Title

Owner

Phone

(512) 720-9956

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1780219345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W 35TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051207",
            "telephone_number": "512-720-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W 35TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051207",
            "telephone_number": "512-720-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGM COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "MOELLER",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "GAUNTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-720-9956",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.