Integrative Therapeutic Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

55232 Issued in TX

Legal business name

INTEGRATIVE THERAPEUTIC SERVICES

Practice address

1209 Parkway
Austin, TX 78703-4132

Phone

(310) 497-6176

NPI assigned

Apr 22, 2018

Organization subpart

No

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

Authorized official

Name

Brenda Lee Gauthier, LCSW, LCDCNPI 1851761613

Title

Owner

Phone

(310) 497-6176

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Brenda Lee Gauthier, LCSW, LCDC

  • Clinical Social Worker
  • Austin, TX
  • NPI 1851761613

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1524355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1275020554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 SUNKIST LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491649",
            "telephone_number": "310-497-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 PARKWAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034132",
            "telephone_number": "310-497-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-22",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-497-6176",
        "authorized_official_credential": "LCSW, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11589",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "55232",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1851761613",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Mental Health Services
• Integration and Cohesiveness Practice, PLLC.
• Integrative Medical Group of Texas
• Integrative Pain Services PA
• Integrative Psychotherapy for Women, PLLC
• Integrity Psychiatry PLLC
• Internalmed Solutions, LLC
• Interventional Pain Associates
• Intramed LLC
• Intrepid of Austin-Pediatrics

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.