Organization Active NPI

Thriving Youth Counseling, PLLC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1114735040
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THRIVING YOUTH COUNSELING, PLLC
Practice address
12741 Research Blvd Ste 303B
Austin, TX 78759-4329
Phone
(512) 814-7876
NPI assigned
Dec 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Julie Shaw, LPCNPI 1861177891
Title
LPC/Owner
Phone
(512) 814-7876

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: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

12741 Research Blvd Ste 303B
Austin, TX 78759-4329

Mailing address

12601 Velarde CV
Austin, TX 78729-7317
Phone (281) 635-9628

Other names 1

  • Thriving Youth Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

12741 Research Blvd
Ste 303B
Austin, TX 78759
Phone (512) 814-7876

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": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1114735040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 VELARDE CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787297317",
            "telephone_number": "281-635-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 RESEARCH BLVD STE 303B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594329",
            "telephone_number": "512-814-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING YOUTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "512-814-7876",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thriving Youth Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 23, 2024; 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.