Individual provider Active NPI

Abigail Hallelujah Tesfaye

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1366291577
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4807 Spicewood Springs Rd Ste 1140
Austin, TX 78759-8479
Phone
(512) 843-7665
NPI assigned
May 18, 2024
Last updated
May 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4807 Spicewood Springs Rd Ste 1140
Austin, TX 78759-8479

Mailing address

165 Patagonia
Kyle, TX 78640-3108
Phone (713) 679-0472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 1, 2026 through Jun 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Just Mind, PLLC CurrentSince Apr 27, 2025 Accepting new patients
NPI 1962860544 PastSince Jun 16, 2024 Accepting new patients

Locations

4807 Spicewood Springs Rd
Ste 1140
Austin, TX 78759
Phone (512) 772-4000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1715990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1366291577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PATAGONIA",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786403108",
            "telephone_number": "713-679-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 SPICEWOOD SPRINGS RD STE 1140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598479",
            "telephone_number": "512-843-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFAYE",
        "first_name": "ABIGAIL",
        "middle_name": "HALLELUJAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.