Individual provider Active NPI

Taylor Conable

  • Marriage & Family Therapist
  • Austin, TX
National Provider Identifier
1851042352
Registry record updated Jan 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203817 Issued in TX
Practice address
9900 Spectrum Dr
Austin, TX 78717-4555
Phone
(210) 849-1801
NPI assigned
Jan 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 203817 TX Primary

Addresses

Primary practice location

9900 Spectrum Dr
Austin, TX 78717-4555

Mailing address

2300 Limestone Ledge
Spring Branch, TX 78070-3634
Phone (210) 849-1801

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address taylor@bridgingconnectionstherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 20, 2024 through May 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
203817TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642291200000",
    "number": "1851042352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LIMESTONE LEDGE",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780703634",
            "telephone_number": "210-849-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SPECTRUM DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174555",
            "telephone_number": "210-849-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONABLE",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-16",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor@bridgingconnectionstherapy.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9900 Spectrum Dr",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787174555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.