NPIMap

Organization Active NPI

Austin Revive PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Lake Hills, TX
National Provider Identifier
1780348540
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AUSTIN REVIVE PLLC
Practice address
1406 Camp Craft Rd Ste 222
West Lake Hills, TX 78746-6556
Phone
(512) 481-2257
NPI assigned
Oct 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Kristen Mulvihill
Title
Owner
Phone
(281) 731-1465

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1406 Camp Craft Rd Ste 222
West Lake Hills, TX 78746-6556

Mailing address

1406 Camp Craft Rd Ste 222
West Lake Hills, TX 78746-6556

Other names 2

  • Austin Revive Doing business as
  • Austin Revive Therapy & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1406 Camp Craft Rd
Ste 222
West Lake Hills, TX 78746
Phone (512) 253-1531

Practitioners & affiliated clinicians

Practitioners 3

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": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1780348540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 CAMP CRAFT RD STE 222",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CAMP CRAFT RD STE 222",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466556",
            "telephone_number": "512-481-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN REVIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "MULVIHILL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-731-1465"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Revive",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Austin Revive Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.