Rick Treadway-Teran, LMFT-SUPERVISOR

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

201227 Issued in TX

Practice address

6448 E Highway 290
Building E, Suite 113
Austin, TX 78723-1068

Phone

(512) 430-0540

NPI assigned

Jul 18, 2006

Last updated

Jul 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluebonnet Trails Community MHMR Center

  dba Bluebonnet Trails Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1730135864

  Marriage & Family Therapist

  Medicare reassignment NPD
• Austin Restorative Therapies

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
  • NPI 1629498993
  Authorized official Same address or phone
• Bluebonnet Trails Community MHMR Center

  dba Bluebonnet Trails Community Services

  • Rural Health Clinic/Center
  • La Grange, TX
  • NPI 1518536309
  NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1326067810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 991",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786210991",
            "telephone_number": "512-430-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6448 E HIGHWAY 290",
            "address_2": "BUILDING E, SUITE 113",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231068",
            "telephone_number": "512-430-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWAY-TERAN",
        "first_name": "RICK",
        "credential": "LMFT-SUPERVISOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC40138",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982498",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traxx Federated, LLC
• Caroline Amanda Traylor
• Rebecca Jean Traylor, M.D.
• Brendan Magee Traynor, RBT
• Brent Lucas Treadaway, D.O.
• Angela Grayce Treadway, DPT
• Treadwell & Treadwell, OD
• Colin Treager, MD
• Treasure Valley Urology Services, LLC
• Treat Ocd PLLC

• Marriage & Family Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.