Individual provider Active NPI

Hannah Eubank, MA, LPC, LMFT

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1225654692
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
77598 Issued in TX
Practice address
4425 South Mopac Expressway
Building 4, Suite 701
Austin, TX 78735-6760
Phone
(512) 909-2535
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 202984 TX
Mental Health Counselor 101YM0800X 77598 TX Primary

Addresses

Primary practice location

4425 South Mopac Expressway
Building 4, Suite 701
Austin, TX 78735-6760

Mailing address

4 Green Glade CT
Wimberley, TX 78676-5027
Phone (254) 709-6064

Other practice location 1

4 Green Glade Ct
Wimberley, TX 78676-5027
Phone (254) 709-6064

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
202984TXMDMental Health Counselor
77598TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Relational Wellness LLC CurrentSince Aug 1, 2021 Accepting new patients

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1225654692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GREEN GLADE CT",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765027",
            "telephone_number": "254-709-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 SOUTH MOPAC EXPRESSWAY",
            "address_2": "BUILDING 4, SUITE 701",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356760",
            "telephone_number": "512-909-2535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Green Glade Ct",
            "address_purpose": "LOCATION",
            "city": "Wimberley",
            "state": "TX",
            "postal_code": "786765027",
            "country_code": "US",
            "telephone_number": "254-709-6064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUBANK",
        "first_name": "HANNAH",
        "credential": "MA, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "202984",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77598",
            "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 Jan 25, 2021; 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.