NPIMap

Organization Active NPI

Enteave PLLC

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1093363962
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ENTEAVE PLLC
Practice address
8500 N Mopac Expy Ste 604
Austin, TX 78759-8347
Phone
(512) 350-6236
Fax
(512) 792-4862
NPI assigned
Sep 3, 2019
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Adam Paine, LCSWNPI 1588113989
Title
Owner/Psychotherapist
Phone
(512) 748-6127

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

8500 N Mopac Expy Ste 604
Austin, TX 78759-8347

Mailing address

9631 Covey Ridge LN
Austin, TX 78758-5818
Phone (512) 748-6127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191011001956 TX Part B Supplier - Clinic/Group Practice 9739410309 Receives reassigned benefits from 7 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

3432 Greystone Dr
Austin, TX 78731
Phone (512) 748-6127

8500 N Mopac Expy
Ste 604
Austin, TX 78759
Phone (512) 350-6236

8500 N Mopac Expy
Ste 814
Austin, TX 78759
Phone (512) 748-6127

8700 Menchaca Rd
Ste 306
Austin, TX 78748
Phone (512) 557-3105

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1093363962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 COVEY RIDGE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585818",
            "telephone_number": "512-748-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 N MOPAC EXPY STE 604",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598347",
            "telephone_number": "512-350-6236",
            "fax_number": "512-792-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTEAVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "PAINE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "512-748-6127",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.