Organization Active NPI

Resurface Group of Austin PLLC

  • Community/Behavioral Health Agency
  • Austin, TX
National Provider Identifier
1023712098
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RESURFACE GROUP OF AUSTIN PLLC
Doing business as
Resurface Group of Austin PLLC
Practice address
1609 Norris Dr
Austin, TX 78704-2805
Phone
(959) 540-9729
NPI assigned
Mar 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Chelsea Reeves, LMFTNPI 1801595806
Title
President
Phone
(936) 332-2970

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
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1609 Norris Dr
Austin, TX 78704-2805

Mailing address

2900 Bristol St Ste B320
Costa Mesa, CA 92626-5987
Phone (949) 540-9729

Other identifiers 1

IdentifierTypeStateIssuer
1801595806OtherTXPROVIDER NUMBER

Other names 1

  • Resurface Group of Austin PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

2900 Bristol St
Ste B320
Costa Mesa, CA 92626
Phone (509) 319-0845

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": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1023712098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE B320",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265987",
            "telephone_number": "949-540-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 NORRIS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042805",
            "telephone_number": "959-540-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURFACE GROUP OF AUSTIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-332-2970",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "1801595806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resurface Group of Austin PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Resurface Group of Austin PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.