Individual provider Active NPI

Timothy Lewis Owens, M.S.

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1710255955
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17451 Issued in TX
Practice address
3415 Greystone Dr Ste 102a
Austin, TX 78731-2314
Phone
(737) 381-1717
Fax
(737) 381-1717
NPI assigned
Dec 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17451 TX Primary

Addresses

Primary practice location

3415 Greystone Dr Ste 102a
Austin, TX 78731-2314

Mailing address

2625 N Peoria Ave
Tulsa, OK 74106-2512
Phone (918) 794-0197

Other practice location 1

2625 N Peoria Ave
Tulsa, OK 74106-2512
Phone (918) 794-0197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002000741 TX Practitioner - Mental Health Counselor 0446756019

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

241 N Overlook Dr
Apt 1318
Red Oak, TX 75154-2044

5511 Virginia Way
Suite 300
Brentwood, TN 37027-7611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
17451TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1710255955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 N PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741062512",
            "telephone_number": "918-794-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 GREYSTONE DR STE 102A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787312314",
            "telephone_number": "737-381-1717",
            "fax_number": "737-381-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 N Peoria Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741062512",
            "country_code": "US",
            "telephone_number": "918-794-0197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TIMOTHY",
        "middle_name": "LEWIS",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-02",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.