Active NPI
Natalie A Furdek, LPC
- Professional Counselor
- Manor, TX
National Provider Identifier
1851365464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17569
- Practice address
- 12829 White House St
Manor, TX 78653 - Phone
- (806) 392-1759
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17569 | TX | Primary |
Addresses
Primary practice location
12829 White House St
Manor, TX 78653
Mailing address
12829 White House St
Manor, TX 78653-3842
Phone (806) 392-1759
Other practice location 1
1602 10th St
Lubbock, TX 79401-2607
Phone (806) 766-0310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17569 | Other | TX | LICENSE NUMBER |
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 |
|---|---|---|---|
| 17569 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1851365464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12829 WHITE HOUSE ST",
"city": "MANOR",
"state": "TX",
"postal_code": "786533842",
"telephone_number": "806-392-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12829 WHITE HOUSE ST",
"city": "MANOR",
"state": "TX",
"postal_code": "78653",
"telephone_number": "806-392-1759"
}
],
"practiceLocations": [
{
"address_1": "1602 10th St",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794012607",
"country_code": "US",
"telephone_number": "806-766-0310",
"fax_number": "806-744-9580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FURDEK",
"first_name": "NATALIE",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "17569",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.