Organization Active NPI

Neurodevelopment Associates of North Texas

  • Professional Counselor
  • Plano, TX
National Provider Identifier
1952809147
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NEURODEVELOPMENT ASSOCIATES OF NORTH TEXAS
Practice address
4508 Legacy Dr Ste 200
Plano, TX 75024-2189
Phone
(469) 408-0331
NPI assigned
Jan 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Authorized official

Name
Katherine Koehler
Title
Doctor/Owner
Phone
(469) 408-0331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 65709 TX

Addresses

Primary practice location

4508 Legacy Dr Ste 200
Plano, TX 75024-2189

Mailing address

4508 Legacy Dr Ste 200
Plano, TX 75024-2189

National Provider Directory

National Provider Directory

Locations

4508 Legacy Dr
Ste 200
Plano, TX 75024
Phone (214) 377-4833

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1952809147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 LEGACY DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 LEGACY DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242189",
            "telephone_number": "469-408-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODEVELOPMENT ASSOCIATES OF NORTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "469-408-0331"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.