Individual provider Active NPI

Julie Ann Corazzato, LPC

  • Professional Counselor
  • Sugar Land, TX
National Provider Identifier
1780963942
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
57980 Issued in TX
Practice address
14015 Southwest Freeway
Suite 3
Sugarland, TX 77478
Phone
(832) 202-8012
Fax
(832) 939-8083
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 57980 TX Primary
Professional Counselor 101YP2500X TX

Addresses

Primary practice location

14015 Southwest Freeway
Suite 3
Sugarland, TX 77478

Mailing address

14015 Southwest Freeway
Suite 3
Sugarland, TX 77478
Phone (832) 202-8012

Other names 1

  • Julie Ann Waguespack Former name

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
57980TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1780963942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 SOUTHWEST FREEWAY",
            "address_2": "SUITE 3",
            "city": "SUGARLAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "832-202-8012",
            "fax_number": "832-939-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015 SOUTHWEST FREEWAY",
            "address_2": "SUITE 3",
            "city": "SUGARLAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "832-202-8012",
            "fax_number": "832-939-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORAZZATO",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "57980",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "WAGUESPACK",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.