Individual provider Active NPI

Mandy Kidwell Barrett, PHD, NCC, LPC, RPT

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1912384371
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
82047 Issued in TX
Practice address
8700 Manchaca Rd Ste 801
Austin, TX 78748-5379
Phone
(504) 609-9997
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6185 LA
Mental Health Counselor 101YM0800X 82047 TX Primary

Addresses

Primary practice location

8700 Manchaca Rd Ste 801
Austin, TX 78748-5379

Mailing address

2501 Thornton Rd Apt 3203
Austin, TX 78704-5596
Phone (504) 609-9997

Other practice location 1

654 Brockenbraugh Ct
Metairie, LA 70005-2712
Phone (504) 609-9997

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6185LAMDMental Health Counselor
82047TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1912384371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 THORNTON RD APT 3203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045596",
            "telephone_number": "504-609-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 MANCHACA RD STE 801",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485379",
            "telephone_number": "504-609-9997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "654 Brockenbraugh Ct",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700052712",
            "country_code": "US",
            "telephone_number": "504-609-9997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "MANDY",
        "middle_name": "KIDWELL",
        "credential": "PHD, NCC, LPC, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "6185",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.