Organization Active NPI

Beth Bramble Psychotherapy Associates, PLLC

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1700294550
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34354 Issued in TX
Legal business name
BETH BRAMBLE PSYCHOTHERAPY ASSOCIATES, PLLC
Doing business as
Bramble Counseling & Counseling
Practice address
4314 Medical Pkwy
Suite 201
Austin, TX 78756-3334
Phone
(512) 323-2292
Fax
(866) 848-9016
NPI assigned
Jul 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Ms. Beth Bramble, LCSW
Title
Principal/Psychotherapist
Phone
(512) 323-2292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 34354 TX Primary

Addresses

Primary practice location

4314 Medical Pkwy
Suite 201
Austin, TX 78756-3334

Mailing address

4314 Medical Pkwy
Suite 201
Austin, TX 78756-3334
Phone (512) 323-2292

Other identifiers 2

IdentifierTypeStateIssuer
187383801MedicaidTX
614193OtherTXMEDICARE PTAN

Other names 1

  • Bramble Counseling & Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

4314 Medical Pkwy
Ste 201
Austin, TX 78756
Phone (512) 458-1225

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1700294550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 MEDICAL PKWY",
            "address_2": "SUITE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563334",
            "telephone_number": "512-323-2292",
            "fax_number": "866-848-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 MEDICAL PKWY",
            "address_2": "SUITE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563334",
            "telephone_number": "512-323-2292",
            "fax_number": "866-848-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH BRAMBLE PSYCHOTHERAPY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "BRAMBLE",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "PRINCIPAL/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "512-323-2292",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187383801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "614193",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bramble Counseling & Counseling",
            "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 Jul 24, 2014; 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.