Counseling at Teravista

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

72397 Issued in TX

Legal business name

COUNSELING AT TERAVISTA

Practice address

4000 Sunrise Rd Ste 3220
Round Rock, TX 78665-1239

Phone

(512) 642-5230

NPI assigned

Sep 15, 2017

Organization subpart

No

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

Authorized official

Name

Jarron Clark, LPCNPI 1831503374

Title

Owner/Counselor

Phone

(512) 642-5230

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jarron Clark, LPC

  • Professional Counselor
  • Round Rock, TX
  • NPI 1831503374
  NPD (past) Authorized official
• Haylee Clark, LPC

  • Professional Counselor
  • Round Rock, TX
  • NPI 1649797499
  NPD (past)

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1194244640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 STIRRUP DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817355",
            "telephone_number": "806-440-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SUNRISE RD STE 3220",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651239",
            "telephone_number": "512-642-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AT TERAVISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JARRON",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "512-642-5230",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "72397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cosmic Cottage Therapy, PLLC
• Erin Therese Costello, BCBA, LBA
• Craig H Couch, M.D.
• Ryan M Coughlan, M.D.
• Cameron Coulon
• Counseling Forward, PLLC
• Court at Round Rock Limited Partnership
• Morgan M Covington, MD
• Ricky Covington, LCDC
• Leanne Marie Cowles, AGACNP-BC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.