Individual provider Active NPI

Justin Scaffa

  • Psychiatric/Mental Health Nurse Practitioner
  • West Lake Hills, TX
National Provider Identifier
1386026995
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP128328 Issued in TX
Practice address
5524 Bee Caves Rd Ste H2
West Lake Hills, TX 78746-5246
Phone
(512) 710-0551
Fax
(512) 717-6337
NPI assigned
Jun 19, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP128328 TX Primary

Addresses

Primary practice location

5524 Bee Caves Rd Ste H2
West Lake Hills, TX 78746-5246

Mailing address

PO Box 3041
Marble Falls, TX 78654-3077
Phone (512) 710-0551

Other practice location 1

4749 Williams Dr Ste 301
Georgetown, TX 78633-3711
Phone (512) 710-0551

Other identifiers 1

IdentifierTypeStateIssuer
351351707MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150824001983 TX Practitioner - Nurse Practitioner 2163738964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Three Oaks Counseling Group LLCGroup PAC ID 2163728692, 29 clinicians

Practice addresses (Care Compare)

4749 Williams Dr
Suite 301
Georgetown, TX 78633-3711
Phone (512) 710-0551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Three Oaks Counseling Group, LLC Multi-Specialty CurrentSince Sep 27, 2019 Accepting new patients
Georgetown Psychological Services PLLC Multi-Specialty CurrentSince Sep 27, 2019 Accepting new patients

Locations

4749 Williams Dr
Ste 301
Georgetown, TX 78633
Phone (512) 710-0551

5524 Bee Caves Rd
Ste H2
West Lake Hills, TX 78746
Phone (512) 649-3050

5524 Bee Caves Rd
Ste K4
West Lake Hills, TX 78746
Phone (512) 649-3050

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1386026995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3041",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786543077",
            "telephone_number": "512-710-0551",
            "fax_number": "512-717-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 BEE CAVES RD STE H2",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465246",
            "telephone_number": "512-710-0551",
            "fax_number": "512-717-6337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4749 Williams Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786333711",
            "country_code": "US",
            "telephone_number": "512-710-0551",
            "fax_number": "512-717-6337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCAFFA",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP128328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351351707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.