Michael Louis Ayoob, ED.D., LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1920 Issued in TX

Practice address

3200 Southern Dr Ste 100
Garland, TX 75043-1549

Phone

(972) 271-4300

Fax

(972) 271-4302

NPI assigned

Feb 22, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Counseling Institute of Texas, Inc.

  • Community/Behavioral Health Agency
  • Garland, TX
  • NPI 1962565853
  NPD (past)

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1841659679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 VELASCO AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066329",
            "telephone_number": "214-797-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SOUTHERN DR STE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431549",
            "telephone_number": "972-271-4300",
            "fax_number": "972-271-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOOB",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "credential": "ED.D., LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "1920",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Garland, TX
• Providers in Garland, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.