Active NPI
Lauren David, PHD
- Counseling Psychologist
- Rollingwood, TX
National Provider Identifier
1669931119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 38132
- Practice address
- 3006 Bee Caves Rd Ste D310
Rollingwood, TX 78746-5753 - Phone
- (512) 253-1353
- NPI assigned
- Mar 14, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 38132 | TX | Primary |
Addresses
Primary practice location
3006 Bee Caves Rd Ste D310
Rollingwood, TX 78746-5753
Mailing address
508 Deep Eddy Ave
Austin, TX 78703-4555
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laurendavid@deepeddypsychotherapy.com | Deep Eddy Psychotherapy Management, LLC |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38132 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Therapy Atx, PLLC | Current | Accepting new patients | |
| Deep Eddy Advanced Care LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Austin, TX
- NPI 1649980376
-
- Psychologist
- Austin, TX
- NPI 1174225247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1669931119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 DEEP EDDY AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787034555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 BEE CAVES RD STE D310",
"city": "ROLLINGWOOD",
"state": "TX",
"postal_code": "787465753",
"telephone_number": "512-253-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "LAUREN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "38132",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laurendavid@deepeddypsychotherapy.com",
"affiliation": "Y",
"affiliationName": "Deep Eddy Psychotherapy Management, LLC",
"address_1": "3006 Bee Caves Rd Ste D310",
"city": "Rollingwood",
"state": "TX",
"country_code": "US",
"postal_code": "787465753",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rollingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.