Organization Active NPI

Elevate Mental Health PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
National Provider Identifier
1013730134
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ELEVATE MENTAL HEALTH PLLC
Practice address
3001 Joe Dimaggio Blvd Ste 900B
Round Rock, TX 78665-3976
Phone
(512) 729-1800
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Mrs. Bonny Petty, PA-CNPI 1194094961
Title
Ownership Member
Phone
(512) 585-8468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X

Addresses

Primary practice location

3001 Joe Dimaggio Blvd Ste 900B
Round Rock, TX 78665-3976

Mailing address

1508 Crockett Gardens Rd
Georgetown, TX 78628-4033
Phone (512) 585-8468

Other practice location 1

3613 Williams Dr Ste 1004
Georgetown, TX 78628-1376
Phone (512) 729-1800

National Provider Directory

National Provider Directory

Locations

3001 Joe Dimaggio Blvd
Ste 900B
Round Rock, TX 78665
Phone (512) 729-1800

Practitioners & affiliated clinicians

Practitioners 1

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": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1013730134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 CROCKETT GARDENS RD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284033",
            "telephone_number": "512-585-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 JOE DIMAGGIO BLVD STE 900B",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653976",
            "telephone_number": "512-729-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3613 Williams Dr Ste 1004",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786281376",
            "country_code": "US",
            "telephone_number": "512-729-1800",
            "fax_number": "737-275-3466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEVATE MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "BONNY",
        "authorized_official_title_or_position": "OWNERSHIP MEMBER",
        "authorized_official_telephone_number": "512-585-8468",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.