Active NPI
Gena Lysa Ausmus, LPC
- Professional Counselor
- Richardson, TX
National Provider Identifier
1972170348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10570
- Practice address
- 3661 N Plano Rd
Richardson, TX 75082-2029 - Phone
- (972) 981-4306
- Fax
- (972) 479-9142
- NPI assigned
- Jun 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10570 | TX | Primary |
Addresses
Primary practice location
3661 N Plano Rd
Richardson, TX 75082-2029
Mailing address
2109 Highwood Dr
Dallas, TX 75228-3344
Phone (214) 532-3563
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 |
|---|---|---|---|
| 10570 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1972170348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 HIGHWOOD DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752283344",
"telephone_number": "214-532-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3661 N PLANO RD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750822029",
"telephone_number": "972-981-4306",
"fax_number": "972-479-9142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSMUS",
"first_name": "GENA",
"middle_name": "LYSA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-04",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "10570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.