Individual provider Active NPI

Steffany Adriana Ahn, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1104697689
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1169433 Issued in TX
Practice address
13740 N Highway 183 Ste L2
Austin, TX 78750-1833
Phone
(773) 985-3539
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95031259 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1169433 TX Primary

Addresses

Primary practice location

13740 N Highway 183 Ste L2
Austin, TX 78750-1833

Mailing address

20855 S Lagrange Rd Ste 205
Frankfort, IL 60423-2043
Phone (773) 985-3539

Other practice location 1

3101 Ocean Park Blvd
Santa Monica, CA 90405-3022
Phone (773) 985-3539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95031259CAMDPsychiatric/Mental Health Nurse Practitioner
1169433TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Psychiatry LLC Psychiatric/Mental Health CurrentSince Jan 19, 2025 Accepting new patients
Beth Psychiatry LLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

3101 Ocean Park Blvd
Ste 100
Santa Monica, CA 90405
Phone (310) 804-1743

20855 S La Grange Rd
Ste 205
Frankfort, IL 60423
Phone (773) 782-7609

13740 N Highway 183
Ste L2
Austin, TX 78750
Phone (512) 710-7644

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1104697689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20855 S LAGRANGE RD STE 205",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232043",
            "telephone_number": "773-985-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13740 N HIGHWAY 183 STE L2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501833",
            "telephone_number": "773-985-3539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Ocean Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904053022",
            "country_code": "US",
            "telephone_number": "773-985-3539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHN",
        "first_name": "STEFFANY",
        "middle_name": "ADRIANA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95031259",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1169433",
            "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 Mar 31, 2025; 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.