Active NPI
Dustin T Warden, LPC
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1780354373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 82051
- Practice address
- 307 Lightsey Rd
Austin, TX 78704-7149 - Phone
- (512) 627-5055
- NPI assigned
- Sep 15, 2021
- 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 | 82051 | TX | Primary |
Addresses
Primary practice location
307 Lightsey Rd
Austin, TX 78704-7149
Mailing address
307 Lightsey Rd
Austin, TX 78704-7149
Phone (512) 627-5055
Other names 1
- Mr. Dustin T Warden
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 |
|---|---|---|---|
| 82051 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1780354373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 LIGHTSEY RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047149",
"telephone_number": "512-627-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 LIGHTSEY RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047149",
"telephone_number": "512-627-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARDEN",
"first_name": "DUSTIN",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "82051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DUSTIN",
"last_name": "WARDEN",
"middle_name": "T",
"prefix": "MR.",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}
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 Sep 15, 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.