Austin Strong: Relationship Building Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AUSTIN STRONG: RELATIONSHIP BUILDING CENTER

Practice address

1714 Fortview Rd Ste 106a
Austin, TX 78704-7659

Phone

(512) 887-8036

NPI assigned

Jul 10, 2019

Organization subpart

Yes

Parent organization

RODEOSUSHI LLCAs reported in NPPES

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

Authorized official

Name

Kristal Desantis, MA, LMFTNPI 1548899214

Title

Clinical Director

Phone

(512) 887-8036

Specialties & licenses 5

Addresses

Other names 1

• Austin STRONG: Relationship Building Center Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Kristal Desantis, LMFT

  • Marriage & Family Therapist
  • Austin, TX
  • NPI 1548899214
  NPD Authorized official

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1265084289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 FORTVIEW RD STE 106A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047659",
            "telephone_number": "512-887-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 FORTVIEW RD STE 106A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047659",
            "telephone_number": "512-887-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN STRONG: RELATIONSHIP BUILDING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RODEOSUSHI LLC",
        "enumeration_date": "2019-07-10",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "512-887-8036",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@austinstrongrbc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1714 Fortview Rd Ste 106A",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787047659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Austin STRONG: Relationship Building Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Austin STRONG: Relationship Building Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Austin, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.