Organization Active NPI

Glasshouse Effect Psychotherapy Center, PLLC

Doing business as Glasshouse Effect Psychotherapy Center, LLC

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1689196651
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
51608 Issued in TX
Legal business name
GLASSHOUSE EFFECT PSYCHOTHERAPY CENTER, PLLC
Doing business as
Glasshouse Effect Psychotherapy Center, LLC
Practice address
706 W Ben White Blvd BLDG B
Ste 184
Austin, TX 78704
Phone
(817) 789-9744
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Bolutife Dosumu, LCSW
Title
Therapist
Phone
(817) 705-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 51608 TX Primary

Addresses

Primary practice location

706 W Ben White Blvd BLDG B
Ste 184
Austin, TX 78704

Mailing address

214 Adam CT
Austin, TX 78737-4467
Phone (817) 705-1900

Other names 1

  • Glasshouse Effect Psychotherapy Center, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

706 W Ben White Blvd
Ste B184
Austin, TX 78704
Phone (817) 789-9744

111 Ramble Ln
Ste 120
Austin, TX 78745
Phone (512) 222-9605

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1689196651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ADAM CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374467",
            "telephone_number": "817-705-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W BEN WHITE BLVD BLDG B",
            "address_2": "STE 184",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78704",
            "telephone_number": "817-789-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASSHOUSE EFFECT PSYCHOTHERAPY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "DOSUMU",
        "authorized_official_first_name": "BOLUTIFE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "817-705-1900",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glasshouse Effect Psychotherapy Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glasshouse Effect Psychotherapy Center, LLC",
            "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 Nov 8, 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.