Active NPI
Mary Theresa Lakowsky, LPC
- Counselor
- Dallas, TX
National Provider Identifier
1851952915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 74759
- Practice address
- 1545 W Mockingbird LN
Dallas, TX 75235-5014 - Phone
- (214) 821-9554
- Fax
- (214) 821-9080
- NPI assigned
- Jun 27, 2019
- Last updated
- Jun 27, 2019
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 74759 | TX | Primary |
Addresses
Primary practice location
1545 W Mockingbird LN
Dallas, TX 75235-5014
Mailing address
6804 Santa Maria LN
Dallas, TX 75214-2846
Phone (214) 458-7763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Montauk Ave
New London, CT 06320-4967
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74759 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1851952915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6804 SANTA MARIA LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752142846",
"telephone_number": "214-458-7763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 W MOCKINGBIRD LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752355014",
"telephone_number": "214-821-9554",
"fax_number": "214-821-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKOWSKY",
"first_name": "MARY",
"middle_name": "THERESA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "74759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.