NPIMap

Organization Active NPI

Lone Star Circle of Care

Doing business as Lone Star Circle of Care at Collinfield

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
National Provider Identifier
1699289728
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LONE STAR CIRCLE OF CARE
Doing business as
Lone Star Circle of Care at Collinfield
Lone Star Circle of Care at Collinfield- Behavioral Health
Practice address
8913 Collinfield Dr
Unit 1 and Unit 2
Austin, TX 78758-6704
Phone
(877) 800-5722
NPI assigned
Nov 28, 2017
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LONE STAR CIRCLE OF CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Jonathan David Calvin
Title
Ceo
Phone
(512) 994-1933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

8913 Collinfield Dr
Unit 1 and Unit 2
Austin, TX 78758-6704

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other names 2

  • Lone Star Circle of Care at Collinfield Doing business as
  • Lone Star Circle of Care at Collinfield- Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040622000184 TX Part B Supplier - Clinic/Group Practice 5193709392 Receives reassigned benefits from 181 practitioners
39 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Austin, TX; Taylor, TX; Round Rock, TX; Pflugerville, TX; Killeen, TX; Jonestown, TX; Hutto, TX; Harker Heights, TX…
O20180129000951 TX Part A Provider - Federally Qualified Health Center (FQHC) 5193709392 Practice locations: Austin, TX
O20250304001891 TX Part A Provider - Federally Qualified Health Center (FQHC) 5193709392 Practice locations: Austin, TX

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1699289728. Details of each certification follow.

Federally qualified health center certification: CCN 741982

Legal name
LONE STAR CIRCLE OF CARE
Doing business as
LONE STAR CIRCLE OF CARE AT COLLINFIELD
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 7, 2018
Last certification
Feb 7, 2018
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
8913 Collinfield Dr
Unit 1
Austin, TX 78758-6704

Federally qualified health center certification: CCN 971049

Legal name
LONE STAR CIRCLE OF CARE
Doing business as
LONE STAR CIRCLE OF CARE AT COLLINFIELD
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 19, 2025
Last certification
Feb 19, 2025
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
8913 Collinfield Dr
Unit 2
Austin, TX 78758-6704

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Other NPIs on the same Medicare enrollment 39

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 39

National Provider Directory

National Provider Directory
Tax ID family
LSCC Georgetown Pharmacy- Williams Drive34 organizations share this tax ID, including this one
Part of
LSCC Georgetown Pharmacy- Williams Drive

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

11111 Research Blvd
Ste 295320
Austin, TX 78759

1221 W Ben White Blvd
#B100
Austin, TX 78704

1221 W Ben White Blvd
Bldg B
Austin, TX 78704
Phone (512) 524-9249

2410 E Riverside Dr
Austin, TX 78741
Phone (512) 372-3777

730 W Stassney Ln
Ste 110
Austin, TX 78745
Phone (512) 892-7200

8913 Collinfield Dr
Unit 2
Austin, TX 78758

1730 E Whitestone Blvd
Ste 101
Cedar Park, TX 78613
Phone (512) 524-9288

902 W 2nd St
Elgin, TX 78621
Phone (512) 229-3334

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 686-0207

5001 Airport Rd
Ste Hlth
Georgetown, TX 78628

612 E University Ave
Georgetown, TX 78626
Phone (512) 930-5437

123 Ed Schmidt Blvd
Ste 140
Hutto, TX 78634
Phone (806) 786-2795

2510 N US Highway 281
Ste 120
Marble Falls, TX 78654

2300 Round Rock Ave
Ste 106
Round Rock, TX 78681
Phone (512) 341-5433

3950 N A W Grimes Blvd
Round Rock, TX 78665
Phone (512) 341-4922

1301 W 4th St
Taylor, TX 76574

305 Mallard Ln
#A
Taylor, TX 76574
Phone (512) 595-0027

305 Mallard Ln
Ste A
Taylor, TX 76574

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sasha Bulkley Individual Corporate DirectorBoard Member Dec 1, 2023
Lindsey Tippit Individual Corporate OfficerCoo Mar 1, 2019
Nichole J Cook Individual Corporate OfficerCfo Aug 5, 2024
Jo Carcedo Individual Corporate DirectorBoard Member Dec 1, 2024
Jack G Hunnicutt Individual Corporate OfficerChairman of the Board of Directors Feb 1, 2003
Corporate DirectorMember of Board of Directors Feb 1, 2003
Corporate DirectorBoard Member Feb 1, 2003
Marc Scott Alarcon Individual Corporate DirectorMember of Board of Directors Feb 19, 2009
Corporate DirectorBoard Member Feb 19, 2009
Alton McCallum Individual Corporate Director Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2020
Steve Pena Individual Corporate DirectorMember of Board of Directors Jan 1, 2015
Corporate DirectorBoard Member Jan 1, 2015
Elizabeth Johnson Individual Corporate DirectorMember of Board of Directors Jan 1, 2013
Corporate DirectorBoard Member Dec 1, 2012
Rudolph Metayer Individual Corporate DirectorMember of Board of Directors Jan 1, 2017
Corporate DirectorBoard Member Jan 1, 2017
Kathleen V Butler Individual Corporate OfficerCmo Jun 1, 2014
W-2 Managing EmployeeCmo Jun 1, 2014
W-2 Managing EmployeeMD; Jun 1, 2014
Roland Valle Individual Corporate DirectorMember of Board of Directors Jan 27, 2011
Corporate DirectorBoard Member Jan 27, 2011
Mark Schroeder Individual Corporate DirectorMember of Board of Directors Jan 1, 2017
Corporate DirectorBoard Member Jan 1, 2017
John Gustainis Individual Corporate DirectorMember of Board of Directors Jan 1, 2005
Corporate DirectorBoard Member Jan 1, 2005
Jonathan D Calvin Individual Corporate OfficerCeo Dec 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 198

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 198

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1699289728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8913 COLLINFIELD DR",
            "address_2": "UNIT 1 AND UNIT 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586704",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR CIRCLE OF CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONE STAR CIRCLE OF CARE",
        "enumeration_date": "2017-11-28",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "CALVIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-994-1933"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Circle of Care at Collinfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lone Star Circle of Care at Collinfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lone Star Circle of Care at Collinfield- Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.