Individual provider Active NPI

Michael Shayne Webber, PH.D. LMFT

  • Marriage & Family Therapist
  • Cedar Park, TX
National Provider Identifier
1992403448
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203488 Issued in TX
Practice address
1210 Cottonwood Creek TRL Ste 300
Cedar Park, TX 78613-2688
Phone
(512) 986-7778
NPI assigned
Feb 22, 2023
Sex
Male
Sole proprietor
Yes

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
203488TXMDMarriage & Family Therapist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 203488 TX Primary
Mental Health Counselor 101YM0800X

Addresses

NPPES NPI Registry

Primary practice location

1210 Cottonwood Creek TRL Ste 300
Cedar Park, TX 78613-2688

Mailing address

1210 Cottonwood Creek TRL Ste 300
Cedar Park, TX 78613-2688
Phone (512) 986-7778

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2023.

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1992403448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 COTTONWOOD CREEK TRL STE 300",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132688",
            "telephone_number": "512-986-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 COTTONWOOD CREEK TRL STE 300",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132688",
            "telephone_number": "512-986-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "MICHAEL",
        "middle_name": "SHAYNE",
        "credential": "PH.D. LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203488",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.