Action Potential Atx Psychotherapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ACTION POTENTIAL ATX PSYCHOTHERAPY PLLC

Practice address

4413 Spicewood Springs Rd # 105
Austin, TX 78759-8580

Phone

(512) 481-2722

Fax

(512) 601-4381

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Mark Blockus, LPCNPI 1598339426

Title

Manager

Phone

(512) 481-2722

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Blockus

  • Professional Counselor
  • Austin, TX
  • NPI 1598339426

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1255061602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 SPICEWOOD SPRINGS RD # 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598580",
            "telephone_number": "512-481-2722",
            "fax_number": "512-601-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 SPICEWOOD SPRINGS RD # 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598580",
            "telephone_number": "512-481-2722",
            "fax_number": "512-601-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION POTENTIAL ATX PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "BLOCKUS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-481-2722",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.