NPIMap

Organization Active NPI

Austin Center for Therapy and Assessment

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1154525509
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19839 Issued in TX
Legal business name
AUSTIN CENTER FOR THERAPY AND ASSESSMENT
Practice address
8103 Brodie LN
Suite 1
Austin, TX 78745-7473
Phone
(512) 608-1166
Fax
(512) 448-0499
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Aron X Bautista, LPCNPI 1821258047
Title
Owner
Phone
(512) 608-1165

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 19839 TX Primary

Addresses

Primary practice location

8103 Brodie LN
Suite 1
Austin, TX 78745-7473

Mailing address

8103 Brodie LN
Suite 1
Austin, TX 78745-7473
Phone (512) 608-1166

Other identifiers 1

IdentifierTypeStateIssuer
19839OtherTXLPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151006000317 TX Part B Supplier - Clinic/Group Practice 0648588061 Receives reassigned benefits from 10 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

5920 W William Cannon Dr
Austin, TX 78749
Phone (512) 893-5750

5920 W William Cannon Dr
Bldg 6-222
Austin, TX 78749
Phone (512) 282-2282

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154525509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 BRODIE LN",
            "address_2": "SUITE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787457473",
            "telephone_number": "512-608-1166",
            "fax_number": "512-448-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8103 BRODIE LN",
            "address_2": "SUITE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787457473",
            "telephone_number": "512-608-1166",
            "fax_number": "512-448-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN CENTER FOR THERAPY AND ASSESSMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "ARON",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-608-1165",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "19839",
            "state": "TX"
        }
    ],
    "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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.