Individual provider Active NPI

Lauren David, PHD

  • Counseling Psychologist
  • Rollingwood, TX
National Provider Identifier
1669931119
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
38132 Issued in TX
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
38132TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.