Organization Active NPI

Spicewood Outpatient LLC

  • Adult Mental Health Clinic/Center
  • Austin, TX
National Provider Identifier
1467308452
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SPICEWOOD OUTPATIENT LLC
Practice address
4807 Spicewood Springs Rd Ste 1235
Austin, TX 78759-8478
Phone
(210) 860-2443
Fax
(737) 221-2477
NPI assigned
Mar 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Joe Roller
Title
Clinical Director
Phone
(512) 968-7402

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

4807 Spicewood Springs Rd Ste 1235
Austin, TX 78759-8478

Mailing address

4807 Spicewood Springs Rd Ste 1235
Austin, TX 78759-8478
Phone (210) 860-2443

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1467308452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 SPICEWOOD SPRINGS RD STE 1235",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598478",
            "telephone_number": "210-860-2443",
            "fax_number": "737-221-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 SPICEWOOD SPRINGS RD STE 1235",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598478",
            "telephone_number": "210-860-2443",
            "fax_number": "737-221-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPICEWOOD OUTPATIENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "ROLLER",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "512-968-7402"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 10, 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.