Individual provider Active NPI

Patricia Masucci, LPC

  • Professional Counselor
  • Fair Oaks Ranch, TX
National Provider Identifier
1881016087
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68909 Issued in TX
Practice address
29335 No Le Hace Dr
Fair Oaks Ranch, TX 78015-4512
Phone
(210) 885-9043
NPI assigned
Jan 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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 68909 TX Primary

Addresses

Primary practice location

29335 No Le Hace Dr
Fair Oaks Ranch, TX 78015-4512

Mailing address

29335 No Le Hace Dr
Fair Oaks Ranch, TX 78015-4512
Phone (210) 885-9043

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

LicenseStateTypeSpecialty
68909TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1881016087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29335 NO LE HACE DR",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154512",
            "telephone_number": "210-885-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29335 NO LE HACE DR",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154512",
            "telephone_number": "210-885-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUCCI",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks Ranch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.