NPIMap

Organization Active NPI

Mary Lee Foundation

  • Assisted Living Facility (Mental Illness)
  • Austin, TX
National Provider Identifier
1124209937
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
120677 Issued in TX
Legal business name
MARY LEE FOUNDATION
Practice address
1339 Lamar Square Drive
Austin, TX 78704-8970
Phone
(512) 443-5777
Fax
(512) 444-9949
NPI assigned
Nov 20, 2007
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Mr. Russ WalkerNPI 1881456648
Title
Executive Director
Phone
(512) 443-5777

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Assisted Living Facility (Mental Illness) 3104A0625X 120677 TX Primary

Addresses

Primary practice location

1339 Lamar Square Drive
Austin, TX 78704-8970

Mailing address

1339 Lamar Square Drive
Austin, TX 78704-8970
Phone (512) 443-5777

National Provider Directory

National Provider Directory
Tax ID family
Mary Lee Foundation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1124209937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 LAMAR SQUARE DRIVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048970",
            "telephone_number": "512-443-5777",
            "fax_number": "512-444-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 LAMAR SQUARE DRIVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048970",
            "telephone_number": "512-443-5777",
            "fax_number": "512-444-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LEE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "512-443-5777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "TX",
            "license": "120677",
            "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 Aug 28, 2026; 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.