Active NPI
Michael Ray Bass, LPC, LMT
- Professional Counselor
- Austin, TX
National Provider Identifier
1952664559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18721
- Practice address
- 13016 Amarillo Ave
Austin, TX 78729-7537 - Phone
- (512) 502-9556
- NPI assigned
- Jun 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18721 | TX | Primary |
| Mechanotherapist | 172M00000X | MT007325 | TX |
Addresses
Primary practice location
13016 Amarillo Ave
Austin, TX 78729-7537
Mailing address
PO Box 27804
Austin, TX 78755-7804
Phone (512) 502-9556
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 |
|---|---|---|---|
| 18721 | TX | MD | Professional Counselor |
| MT007325 | TX | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1952664559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27804",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787557804",
"telephone_number": "512-502-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13016 AMARILLO AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787297537",
"telephone_number": "512-502-9556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "MICHAEL",
"middle_name": "RAY",
"credential": "LPC, LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18721",
"primary": true
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "TX",
"license": "MT007325",
"primary": false
}
],
"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 Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.