Organization Active NPI

Austin Concierge Therapy, Inc.

  • Marriage & Family Therapist
  • Austin, TX
National Provider Identifier
1386503159
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
AUSTIN CONCIERGE THERAPY, INC.
Practice address
6507 Jester Blvd
Austin, TX 78750-8368
Phone
(512) 940-5525
NPI assigned
Jan 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Marc Geronimo, LMFT-ANPI 1902765712
Title
Founder
Phone
(512) 940-5525

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

6507 Jester Blvd
Austin, TX 78750-8368

Mailing address

12617 Monterey Path
Austin, TX 78732-2445
Phone (512) 940-5525

Other names 1

  • ATX Psychedelic Therapy Other name

National Provider Directory

National Provider Directory

Locations

6507 Jester Blvd
Austin, TX 78750
Phone (512) 343-1200

Practitioners & affiliated clinicians

Practitioners 2

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": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1386503159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12617 MONTEREY PATH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787322445",
            "telephone_number": "512-940-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 JESTER BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508368",
            "telephone_number": "512-940-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN CONCIERGE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-18",
        "status": "A",
        "authorized_official_last_name": "GERONIMO",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "512-940-5525",
        "authorized_official_credential": "LMFT-A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATX Psychedelic Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.