Individual provider Active NPI

Adrian Lory

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1851928717
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3625 Menchaca Rd Ste 303
Austin, TX 78704-5912
Phone
(512) 240-2574
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

3625 Menchaca Rd Ste 303
Austin, TX 78704-5912

Mailing address

5413 Menchaca Rd Apt 142
Austin, TX 78745-2869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 5, 2024 through Feb 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1851928717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 MENCHACA RD APT 142",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MENCHACA RD STE 303",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045912",
            "telephone_number": "512-240-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORY",
        "first_name": "ADRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.