Organization Active NPI

N Otoupal, PLLC

  • Clinical Social Worker
  • San Marcos, TX
National Provider Identifier
1992138283
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
N OTOUPAL, PLLC
Practice address
102 Wonder World Dr # 304-146
San Marcos, TX 78666-6076
Phone
(719) 501-3337
NPI assigned
Aug 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Nan Otoupal, LCSW
Title
Sole Member
Phone
(719) 501-3337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

102 Wonder World Dr # 304-146
San Marcos, TX 78666-6076

Mailing address

102 Wonder World Dr # 304-146
San Marcos, TX 78666-6076
Phone (719) 501-3337

Other identifiers 1

IdentifierTypeStateIssuer
329161901MedicaidTX

National Provider Directory

National Provider Directory

Locations

75 Loop 150 W
Ste G
Bastrop, TX 78602
Phone (512) 337-4130

102 Wonder World Dr
#304146
San Marcos, TX 78666
Phone (719) 501-3337

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1992138283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WONDER WORLD DR # 304-146",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666076",
            "telephone_number": "719-501-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WONDER WORLD DR # 304-146",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666076",
            "telephone_number": "719-501-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N OTOUPAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "OTOUPAL",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "719-501-3337",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329161901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.