Individual provider Active NPI

Kaitlin Marie Rothfelder, MA, LPC-ASSOCIATE

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1508439795
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
86510 Issued in TX
Practice address
5900 Balcones Dr Ste 242
Austin, TX 78731-4200
Phone
(512) 246-7225
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 86510 TX Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 242
Austin, TX 78731-4200

Mailing address

8888 Tallwood Dr Apt 3202
Austin, TX 78759-7604
Phone (832) 721-0246

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.austinanxiety.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
86510TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1508439795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 TALLWOOD DR APT 3202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597604",
            "telephone_number": "832-721-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 242",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314200",
            "telephone_number": "512-246-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHFELDER",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "credential": "MA, LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.austinanxiety.com/",
            "affiliation": "N",
            "endpointDescription": "https://www.austinanxiety.com/",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5900 Balcones Dr Ste 242",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787314200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 23, 2021; 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.