Individual provider Active NPI

Nicholas Augustus Alvarez-Olson, LPC, LMFT-A

  • Mental Health Counselor
  • West Lake Hills, TX
National Provider Identifier
1124616636
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
80156 Issued in TX
Practice address
4407 Bee Caves Rd Ste 422
West Lake Hills, TX 78746-6406
Phone
(512) 469-0535
NPI assigned
Jan 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 203260 TX
Mental Health Counselor 101YM0800X 80156 TX Primary

Addresses

Primary practice location

4407 Bee Caves Rd Ste 422
West Lake Hills, TX 78746-6406

Mailing address

4407 Bee Caves Rd Ste 422
West Lake Hills, TX 78746-6406
Phone (512) 573-8050

Other names 1

  • Gus Alvarez-Olson Other name

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
203260TXMDMarriage & Family Therapist
80156TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Wellness CurrentSince Feb 1, 2022 Accepting new patients
Ethos Prism, LLC PastSince Feb 1, 2022 Accepting new patients

Locations

4407 Bee Caves Rd
Ste 422
West Lake Hills, TX 78746
Phone (512) 469-0535

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": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1124616636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 422",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466406",
            "telephone_number": "512-573-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 422",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466406",
            "telephone_number": "512-469-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ-OLSON",
        "first_name": "NICHOLAS",
        "middle_name": "AUGUSTUS",
        "credential": "LPC, LMFT-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-10",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203260",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUS",
            "last_name": "ALVAREZ-OLSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.