Ignite Adventures LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

IGNITE ADVENTURES LLC

Doing business as

Head & Heart Integrative Psychotherapy

Practice address

1306 Baronets TRL
Austin, TX 78753-6899

Phone

(512) 607-7897

NPI assigned

Jan 20, 2022

Last updated

Jan 20, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

IGNITE ADVENTURES LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Adrienne Joy Clements, LMFTNPI 1659811750

Title

Owner

Phone

(512) 607-7897

Specialties & licenses 1

Addresses

Other names 1

• Head & Heart Integrative Psychotherapy Doing business as

Part of

Ignite Adventures LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adrienne Clements, M.A. , LMFT-ASSOCIAT

  • Marriage & Family Therapist
  • Austin, TX
  • NPI 1659811750
  NPD Authorized official

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1043962111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 ADAMS AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561102",
            "telephone_number": "512-607-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 BARONETS TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536899",
            "telephone_number": "512-607-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE ADVENTURES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IGNITE ADVENTURES LLC",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-607-7897",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Head & Heart Integrative Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.