Individual provider Active NPI

Lindsey Brotsch, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1659913515
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72949 Issued in TX
Practice address
5015 S Ih 35 Ste 200
Austin, TX 78744-2714
Phone
(512) 915-6648
NPI assigned
Oct 11, 2019
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 72949 TX Primary

Addresses

Primary practice location

5015 S Ih 35 Ste 200
Austin, TX 78744-2714

Mailing address

1430 Collier St
Austin, TX 78704-2911
Phone (512) 472-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228001631 TX Practitioner - Mental Health Counselor 7113362260 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72949TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Jan 1, 2024 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Pathways Youth & Family Services, Inc. Professional Past Accepting new patients

Locations

5015 S Interstate 35
Austin, TX 78744
Phone (512) 703-1392

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

5015 S Interstate 35
Ste 200
Austin, TX 78744
Phone (512) 804-3200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1659913515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 COLLIER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042911",
            "telephone_number": "512-472-4357",
            "fax_number": "512-703-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 S IH 35 STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787442714",
            "telephone_number": "512-915-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTSCH",
        "first_name": "LINDSEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.