Active NPI
Gayle L. Bandt, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1821144783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15685
- Practice address
- 4019 Manchaca Rd
Austin, TX 78704-6737 - Phone
- (512) 804-3421
- Fax
- (512) 447-2213
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- 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 | 15685 | TX | Primary |
Addresses
Primary practice location
4019 Manchaca Rd
Austin, TX 78704-6737
Mailing address
1430 Collier St
Austin, TX 78704-2911
Phone (512) 440-4059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84848L | Other | TX | BCBS |
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 |
|---|---|---|---|
| 15685 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821144783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 COLLIER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787042911",
"telephone_number": "512-440-4059",
"fax_number": "512-445-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4019 MANCHACA RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787046737",
"telephone_number": "512-804-3421",
"fax_number": "512-447-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDT",
"first_name": "GAYLE",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "15685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84848L",
"state": "TX"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.