Autonomy Movement LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

AUTONOMY MOVEMENT LLC

Practice address

601 Farley Dr
Austin, TX 78753-3114

Phone

(512) 504-7381

NPI assigned

May 28, 2019

Organization subpart

No

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

Authorized official

Name

Kimberly Gould FryNPI 1740846310

Title

Owner

Phone

(512) 387-1398

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Gould Fry, LMFT

  • Marriage & Family Therapist
  • Austin, TX
  • NPI 1740846310
  NPD Authorized official

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1740847417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 TOSCANA AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787246249",
            "telephone_number": "512-387-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FARLEY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533114",
            "telephone_number": "512-504-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTONOMY MOVEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "GOULD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-387-1398"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Asia Marie Autrey
• Kathryn M. Autrey
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• Marriage & Family Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.