Active NPI
Robin Austin
- Marriage & Family Therapist
- Santa Cruz, CA
National Provider Identifier
1639510126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 104564
- Practice address
- 380 Encinal St Ste 200
Santa Cruz, CA 95060-2178 - Phone
- (831) 461-7009
- NPI assigned
- Jul 11, 2013
- Last updated
- Feb 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 104564 | Primary |
Addresses
Primary practice location
380 Encinal St Ste 200
Santa Cruz, CA 95060-2178
Mailing address
225 Westridge Dr
Watsonville, CA 95076-4168
Phone (831) 688-3802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ92069Z | Other | CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250414000979 | CA | Order and Referring Only - Marriage and Family Therapist | 5193249910 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119191 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1639510126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 WESTRIDGE DR",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950764168",
"telephone_number": "831-688-3802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 ENCINAL ST STE 200",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602178",
"telephone_number": "831-461-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "ROBIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": "104564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ COUNTY MEDICARE GROUP PTAN#",
"identifier": "ZZZ92069Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.