Individual provider Active NPI

Zachary Ossefort, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1114895869
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109453 Issued in TX
Practice address
3705 Medical Pkwy Ste 450
Austin, TX 78705-1024
Phone
(512) 981-5391
Fax
(866) 653-5142
NPI assigned
Oct 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16495 TX
Clinical Social Worker 1041C0700X 109453 TX Primary

Addresses

Primary practice location

3705 Medical Pkwy Ste 450
Austin, TX 78705-1024

Mailing address

3705 Medical Pkwy Ste 450
Austin, TX 78705-1024
Phone (512) 981-5391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251215003146 TX Practitioner - Clinical Social Worker 8921592114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deep Eddy Psychotherapy Management, LLCGroup PAC ID 2264886936, 70 clinicians

Practice addresses (Care Compare)

1500 W 38TH St
Suite 44
Austin, TX 78731-6319
Phone (512) 956-6463

3705 Medical Pkwy
Suite 450
Austin, TX 78705-1024
Phone (512) 981-5391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16495TXMDGeneral Practice Dentistry
109453TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Zach Ossefort PLLC CurrentSince Jan 1, 2026 Accepting new patients
Deep Eddy Psychotherapy Management, LLC CurrentSince Dec 2, 2025 Accepting new patients
Deep Centered Psychiatry PLLC Past Accepting new patients

Locations

508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889

2600 W Stassney Ln
Austin, TX 78745
Phone (512) 729-8522

1500 W 38th St
Ste 44
Austin, TX 78731
Phone (512) 469-0889

3705 Medical Pkwy
Ste 450
Austin, TX 78705
Phone (512) 306-0061

Organizations & group practices 3

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": "1761264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1114895869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051024",
            "telephone_number": "512-981-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051024",
            "telephone_number": "512-981-5391",
            "fax_number": "866-653-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSEFORT",
        "first_name": "ZACHARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-24",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16495",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.