Evolving Mind Psychotherapy, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29933 Issued in TX

Legal business name

EVOLVING MIND PSYCHOTHERAPY, INC.

Practice address

4201 Bee Cave Rd
BLG. C, Suite 213
West Lake Hills, TX 78746-6465

Phone

(512) 785-1195

Fax

(512) 301-1175

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Sergio J. Barrios, LCSWNPI 1477562973

Title

Psychotherapist

Phone

(512) 785-1195

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sergio J. Barrios, LCSW

  • Clinical Social Worker
  • West Lake Hills, TX
  • NPI 1477562973
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447269840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90241",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787090241",
            "telephone_number": "512-785-1195",
            "fax_number": "512-301-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVE RD",
            "address_2": "BLG. C, SUITE 213",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466465",
            "telephone_number": "512-785-1195",
            "fax_number": "512-301-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVING MIND PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARRIOS",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "512-785-1195",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "29933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Olyvia Espinoza
• Monica Lynn Etter, LPC
• Yeonchae Eun, LMSW
• James Frederic Evans, DDS
• Lindsay Downs Evans, PH.D.
• F Kelly Cunningham MD, PA
• F Kelly Cunningham MD, PA
• Yetunde Fadeyibi, APRN
• Fadya Therapy PLLC
• Family Chiropractic Center, Inc.

• Clinical Social Worker in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.