Organization Active NPI

Cosmic Cottage Therapy, PLLC

  • Mental Health Counselor
  • Round Rock, TX
National Provider Identifier
1376360776
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COSMIC COTTAGE THERAPY, PLLC
Practice address
600 Round Rock West Dr Ste 404
Round Rock, TX 78681-5005
Phone
(512) 766-0799
NPI assigned
Sep 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Joslyn Ridgely, LPCNPI 1598582983
Title
LPC/Owner
Phone
(512) 766-0799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

600 Round Rock West Dr Ste 404
Round Rock, TX 78681-5005

Mailing address

600 Round Rock West Dr
Round Rock, TX 78681-5007

National Provider Directory

National Provider Directory

Locations

600 Round Rock West Dr
Round Rock, TX 78681
Phone (512) 203-6302

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1376360776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ROUND ROCK WEST DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROUND ROCK WEST DR STE 404",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815005",
            "telephone_number": "512-766-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMIC COTTAGE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "RIDGELY",
        "authorized_official_first_name": "JOSLYN",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "512-766-0799",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.