NPIMap

Organization Active NPI

Plus Faith TX Incorporated

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1184463861
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PLUS FAITH TX INCORPORATED
Practice address
4205 Lakeway Blvd
Austin, TX 78734
Phone
(737) 231-0094
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Timothy Donovan
Title
Owner/Ceo
Phone
(737) 231-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4205 Lakeway Blvd
Austin, TX 78734

Mailing address

12600 Hill Country Blvd
Suite R130 #5171
Bee Cave, TX 78738
Phone (737) 231-0094

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250109001353 TX Part B Supplier - Clinic/Group Practice 0244768992 Receives reassigned benefits from 5 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

9020 N Capital of Texas Hwy
Bldg 2
Austin, TX 78759
Phone (512) 361-1400

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1184463861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 HILL COUNTRY BLVD",
            "address_2": "SUITE R130 #5171",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "78738",
            "telephone_number": "737-231-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 LAKEWAY BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78734",
            "telephone_number": "737-231-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUS FAITH TX INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "737-231-0000"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, 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 May 22, 2024; 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.