Beautiful Mind Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BEAUTIFUL MIND THERAPY

Practice address

7909 Mellencamp Dr
Austin, TX 78744-2098

Phone

(737) 708-7417

NPI assigned

Dec 30, 2021

Organization subpart

No

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

Authorized official

Name

Marc Olivares, MA, MS, LPCNPI 1740711571

Title

Owner

Phone

(737) 708-7417

Specialties & licenses 1

Addresses

Practitioners 2

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

• Marc Olivares, MA, MS, LPC-S

  • Professional Counselor
  • Austin, TX
  • NPI 1740711571
  NPD Authorized official
• Joseph Michael Sosa, LPC-A

  • Mental Health Counselor
  • Austin, TX
  • NPI 1912738444
  NPD

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1063172195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 AVENUE F APT 129",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511256",
            "telephone_number": "956-763-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909 MELLENCAMP DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787442098",
            "telephone_number": "737-708-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL MIND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "OLIVARES",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-708-7417",
        "authorized_official_credential": "MA, MS, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sade Beaulieu, LPC,NCC,CRC
• Sarah Jayne Luin Beaulieu, DPT
• Johnathon Beauman
• Rhiannon Charlene Beauregard, LMFT
• Beautiful Gate Hospice LLC
• Beautifully Awakened Counseling, PLLC
• Alyssa Beaver
• Lisa Carol Beaver, FNP
• Ruby Beaver, MS RDN LD
• Anna Beavers

• Mental Health Clinic/Center (Including Community Mental Health Center) in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.