Austin Vitality Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

52338 Issued in TX

Legal business name

AUSTIN VITALITY COUNSELING

Practice address

12502 Palfrey Dr
Austin, TX 78727-3017

Phone

(512) 422-4352

NPI assigned

Apr 23, 2018

Last updated

Apr 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlye Johnston Levine, LCSWNPI 1164961496

Title

Manager

Phone

(512) 422-4352

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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.

• Carlye Johnston Levine, LCSW, C-ASWCM

  • Clinical Social Worker
  • Austin, TX
  • NPI 1164961496
  Medicare reassignment Care Compare group NPD Authorized official
• Shannon Louise Dennis, LCSW

  • Clinical Social Worker
  • San Saba, TX
  • NPI 1528115128
  Medicare reassignment Care Compare group NPD
• Barbara Shaw Alford, PH D

  • Clinical Psychologist
  • Austin, TX
  • NPI 1093889891
  NPD (past)

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1770070070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 PALFREY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787273017",
            "telephone_number": "512-422-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 PALFREY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787273017",
            "telephone_number": "512-422-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN VITALITY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "CARLYE",
        "authorized_official_middle_name": "JOHNSTON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-422-4352",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Austin Wellness Institute
• Austin Wellness, PLLC
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• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.