Organization Active NPI

Tishna Rollo Psychotherapy PLLC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1083178792
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TISHNA ROLLO PSYCHOTHERAPY PLLC
Practice address
1605 E 7TH St
Austin, TX 78702-3325
Phone
(512) 710-9781
NPI assigned
Jan 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Tishna Rollo, MA, LPCNPI 1629532338
Title
Psychotherapist
Phone
(512) 914-7374

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1605 E 7TH St
Austin, TX 78702-3325

Mailing address

3303 Neal St
Austin, TX 78702-3731
Phone (512) 914-7374

National Provider Directory

National Provider Directory

Locations

1605 E 7th St
Austin, TX 78702
Phone (512) 710-9781

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": "1548547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1083178792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 NEAL ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023731",
            "telephone_number": "512-914-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E 7TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023325",
            "telephone_number": "512-710-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TISHNA ROLLO PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-27",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "ROLLO",
        "authorized_official_first_name": "TISHNA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "512-914-7374",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 19, 2019; 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.