Active NPI
Glasshouse Effect Psychotherapy Center, PLLC
Doing business as Glasshouse Effect Psychotherapy Center, LLC
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1689196651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 51608
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.