Emdr Therapy Austin PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EMDR THERAPY AUSTIN PLLC

Practice address

4601 Spicewood Springs Rd.
Building 3, Suite 200
Austin, TX 78759-8598

Phone

(512) 503-0700

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Brittany Fellwock, LPC-SNPI 1568920668

Title

Owner & Clinical Director

Phone

(512) 503-0700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brittany Fellwock, LPC-S

  • Professional Counselor
  • Austin, TX
  • NPI 1568920668
  NPD Authorized official

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1417415514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 SPICEWOOD SPRINGS RD.",
            "address_2": "BUILDING 3, SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598598",
            "telephone_number": "512-503-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 SPICEWOOD SPRINGS RD.",
            "address_2": "BUILDING 3, SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598598",
            "telephone_number": "512-503-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMDR THERAPY AUSTIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "FELLWOCK",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "512-503-0700",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Embree, P.T.
• Beverly Dawn Embry, CRNA
• Shahrzad M Embry, DDS
• Andrea Emdad, CRNA
• Bianca Rachelle Emde, SLP
• Cody J Emeigh
• Edwin Nnamdi Emenike
• Whitney Emens, LPC
• Emerald Medical Ny PC
• Emerald Molecular Laboratory LLC

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.