Individual provider Active NPI

Jude Thaddeus Austin II, PHD, LPC, LMFT-ASSOC

  • Marriage & Family Therapist
  • Temple, TX
National Provider Identifier
1275198335
Registry record updated May 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203451 Issued in TX
Practice address
2027 S 61St St Ste 121
Temple, TX 76504-6817
Phone
(254) 258-4571
NPI assigned
May 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2019

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 0701008193 VA
Marriage & Family Therapist 106H00000X 203451 TX Primary

Addresses

Primary practice location

2027 S 61St St Ste 121
Temple, TX 76504-6817

Mailing address

405 Weeping Willow Dr
Temple, TX 76502-5301
Phone (337) 347-0410

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0701008193VAMDMental Health Counselor
203451TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556928000000",
    "number": "1275198335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WEEPING WILLOW DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025301",
            "telephone_number": "337-347-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 S 61ST ST STE 121",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046817",
            "telephone_number": "254-258-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JUDE",
        "middle_name": "THADDEUS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PHD, LPC, LMFT-ASSOC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-04",
        "last_updated": "2019-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701008193",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.