Organization Active NPI

Bruised Apples Mentoring Program

Doing business as Bruised Apples Holistic Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Austin, TX
National Provider Identifier
1619334588
Registry record updated Jan 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
BRUISED APPLES MENTORING PROGRAM
Doing business as
Bruised Apples Holistic Counseling Center
Practice address
2101 E Ben White Blvd
Building 8, Suite 800
Austin, TX 78741-6922
Phone
(832) 512-0355
NPI assigned
Jan 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2016

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

Authorized official

Name
Mr. Donald Craig Ellerbe, LCDCNPI 1518202407
Title
Chief Executive Officer
Phone
(832) 512-0355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

2101 E Ben White Blvd
Building 8, Suite 800
Austin, TX 78741-6922

Mailing address

PO Box 152292
Austin, TX 78715-2292
Phone (832) 512-0355

Other names 1

  • Bruised Apples Holistic Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

2101 E Ben White Blvd
Bldg 8
Austin, TX 78741
Phone (832) 512-0355

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1453593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453593600000",
    "number": "1619334588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152292",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787152292",
            "telephone_number": "832-512-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E BEN WHITE BLVD",
            "address_2": "BUILDING 8, SUITE 800",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416922",
            "telephone_number": "832-512-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUISED APPLES MENTORING PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-24",
        "last_updated": "2016-01-24",
        "status": "A",
        "authorized_official_last_name": "ELLERBE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "832-512-0355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruised Apples Holistic Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2016; 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.