Stacy Melody Bockholt, LMFT-ASSOCIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

204956 Issued in TX

Practice address

1000 Westbank Dr., Ste 6-250
Austin, TX 78746

Phone

(512) 815-3599

Fax

(737) 237-5657

NPI assigned

Feb 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1093412231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WESTBANK DR., STE 6-250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-815-3599",
            "fax_number": "737-237-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WESTBANK DR., STE 6-250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-815-3599",
            "fax_number": "737-237-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKHOLT",
        "first_name": "STACY",
        "middle_name": "MELODY",
        "name_prefix": "Mrs.",
        "credential": "LMFT-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "204956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cielo Natalie Bocanegra
• Mary Bess Bocchino, LCSW
• Michael Clawson Boccieri, RPH
• Mark Bochey, MD
• Jenna Bock
• Dana Ann Bocock
• Sreevidya Bodapati, D.D.S., M.S.
• Drew Marie Bodden
• Nicolas Rodriguez Bodden
• Sara Bode, FNP-C

• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

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