Austin Adolescent Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

201436 Issued in TX

Legal business name

AUSTIN ADOLESCENT THERAPY

Practice address

2525 Wallingwood Dr
BLDG 1, Suite 124
Austin, TX 78746-6900

Phone

(512) 537-9640

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Blake Howard, MA

Title

Psychotherapist

Phone

(512) 537-9640

Specialties & licenses 1

Addresses

Other names 1

• GirlTalk Therapy Doing business as

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1386997104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR",
            "address_2": "BLDG 1, SUITE 124",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR",
            "address_2": "BLDG 1, SUITE 124",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466900",
            "telephone_number": "512-537-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN ADOLESCENT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "512-537-9640",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GirlTalk Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Austech Dental, PLLC
• Katherine Austen, LPCA
• Austex Pediatrics
• Austex Quality Home Care, LLC
• Austin Acupuncture Clinic
• Austin Adult Homecare
• Austin Adult Primary Care
• Austin Anesthesiology Association
• Austin Anesthesiology Group, PLLC
• Austin Area Birthing Center, Inc

• 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 Oct 17, 2012; 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.