Organization Active NPI

Greenvine Psychiatry and Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1760274138
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GREENVINE PSYCHIATRY AND WELLNESS, PLLC
Practice address
13740 N Research Blvd K2
Austin, TX 78750-0780
Phone
(737) 231-0004
NPI assigned
May 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Authorized official

Name
Candice Mary Jeffers, APRN, PMHNP-BCNPI 1467276196
Title
Owner/Psychiatric Nurse Practitione
Phone
(737) 231-0004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

13740 N Research Blvd K2
Austin, TX 78750-0780

Mailing address

13740 N Highway 183 Ste K2
Austin, TX 78750-1832

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789257600000",
    "number": "1760274138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13740 N HIGHWAY 183 STE K2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13740 N RESEARCH BLVD K2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787500780",
            "telephone_number": "737-231-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVINE PSYCHIATRY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER/PSYCHIATRIC NURSE PRACTITIONE",
        "authorized_official_telephone_number": "737-231-0004",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 13, 2026; 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.