Active NPI
Austin Bridges
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1194247411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 73707
- Practice address
- 4807 Spicewood Springs Rd BLDG 1
Austin, TX 78759-8444 - Phone
- (512) 843-7665
- NPI assigned
- Jul 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 73707 | TX | Primary |
Addresses
Primary practice location
4807 Spicewood Springs Rd BLDG 1
Austin, TX 78759-8444
Mailing address
1600 Barton Springs Rd Unit 2108
Austin, TX 78704-1182
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73707 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Bridges Therapy | Current | Accepting new patients | |
| Treat Ocd PLLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- West Lake Hills, TX
- NPI 1851894836
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Austin, TX
- NPI 1235015124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499385600000",
"number": "1194247411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 BARTON SPRINGS RD UNIT 2108",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787041182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4807 SPICEWOOD SPRINGS RD BLDG 1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598444",
"telephone_number": "512-843-7665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "AUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-07",
"last_updated": "2017-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "73707",
"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 Jul 7, 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.