NPIMap

Organization Active NPI

Life Support Counseling and Research

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1679791677
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFE SUPPORT COUNSELING AND RESEARCH
Practice address
3809 S 2ND St Ste C400
Austin, TX 78704-7059
Phone
(512) 451-7310
Fax
(512) 451-0394
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Leon Smith, LPC, LSOTP
Title
Executive Director
Phone
(512) 451-7310

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

3809 S 2ND St Ste C400
Austin, TX 78704-7059

Mailing address

3809 S 2ND St Ste C400
Austin, TX 78704-7059
Phone (512) 451-7310

Other identifiers 4

IdentifierTypeStateIssuer
153602101MedicaidTX
109348601MedicaidTX
109348602MedicaidTX
080030201MedicaidTX

Other names 1

  • Therapeutic Family Life Doing business as

National Provider Directory

National Provider Directory

Locations

1340 Airport Commerce Dr
Ste 480
Austin, TX 78741

3809 S 2nd St
Ste C400
Austin, TX 78704
Phone (512) 451-7310

Practitioners & affiliated clinicians

Practitioners 6

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1679791677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 S 2ND ST STE C400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047059",
            "telephone_number": "512-451-7310",
            "fax_number": "512-451-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 S 2ND ST STE C400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047059",
            "telephone_number": "512-451-7310",
            "fax_number": "512-451-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SUPPORT COUNSELING AND RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "512-451-7310",
        "authorized_official_credential": "LPC, LSOTP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153602101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109348601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109348602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080030201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutic Family Life",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Therapeutic Family Life",
            "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 Aug 21, 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.