Individual provider Active NPI

Eleanor Ann Logrip, LMFT-A

  • Marriage & Family Therapist
  • Round Rock, TX
National Provider Identifier
1164055117
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203618 Issued in TX
Practice address
1930 Rawhide Dr
Round Rock, TX 78681-6953
Phone
(512) 693-9493
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 203618 TX Primary

Addresses

Primary practice location

1930 Rawhide Dr
Round Rock, TX 78681-6953

Mailing address

1930 Rawhide Dr Ste 310
Round Rock, TX 78681-6954
Phone (850) 284-9376

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
203618TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Well Played Family Therapy PLLC Marriage & Family Therapist CurrentSince Jun 18, 2023 Accepting new patients

Locations

13706 Research Blvd
Ste 114
Austin, TX 78750
Phone (512) 659-8553

1930 Rawhide Dr
Ste 310
Round Rock, TX 78681
Phone (512) 692-6236

Organizations & group practices 1

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": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1164055117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 RAWHIDE DR STE 310",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816954",
            "telephone_number": "850-284-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 RAWHIDE DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816953",
            "telephone_number": "512-693-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGRIP",
        "first_name": "ELEANOR",
        "middle_name": "ANN",
        "credential": "LMFT-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.