Organization Active NPI

Iron Ridge Recovery

  • Adult Mental Health Clinic/Center
  • Austin, TX
National Provider Identifier
1134049489
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
IRON RIDGE RECOVERY
Practice address
4030 W Braker LN Ste 410
Austin, TX 78759-5332
Phone
(310) 421-5564
NPI assigned
Jul 17, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Ian Birdwell, LPC
Title
Co-Founder/Clinical Director
Phone
(512) 877-8616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4030 W Braker LN Ste 410
Austin, TX 78759-5332

Mailing address

4030 W Braker LN Ste 410
Austin, TX 78759-5332
Phone (512) 877-8616

National Provider Directory

National Provider Directory

Locations

4030 W Braker Ln
Austin, TX 78759

4030 W Braker Ln
Ste 410
Austin, TX 78759
Phone (310) 421-5564

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1134049489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 W BRAKER LN STE 410",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595332",
            "telephone_number": "512-877-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 W BRAKER LN STE 410",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595332",
            "telephone_number": "310-421-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON RIDGE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "BIRDWELL",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "CO-FOUNDER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "512-877-8616",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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 Oct 23, 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.