Organization Active NPI

Iron Ridge Recovery

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
National Provider Identifier
1134049489
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 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) 585-2304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

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

Mailing address

4030 W Braker LN
Austin, TX 78759-5315
Phone (512) 877-8616

National Provider Directory

National Provider Directory

Locations

4030 W Braker Ln
Ste 410
Austin, TX 78759

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": "1788480000000",
    "number": "1134049489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 W BRAKER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595315",
            "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": "2026-09-04",
        "certification_date": "2026-09-04",
        "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": "512-585-2304",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Sep 4, 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.