Organization Active NPI

Pierce Psychological and Counseling Services PLLC

  • Psychologist
  • Austin, TX
National Provider Identifier
1790349470
Registry record updated Apr 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PIERCE PSYCHOLOGICAL AND COUNSELING SERVICES PLLC
Practice address
3721 Executive Center Dr Ste 265
Austin, TX 78731-1639
Phone
(512) 871-1100
NPI assigned
Apr 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2019

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

Authorized official

Name
Cristine Pierce, PSYDNPI 1871815761
Title
Owner
Phone
(512) 871-1100

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

3721 Executive Center Dr Ste 265
Austin, TX 78731-1639

Mailing address

3721 Executive Center Dr Ste 265
Austin, TX 78731-1639
Phone (512) 871-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190801000953 TX Part B Supplier - Clinic/Group Practice 4486980182 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

4131 Spicewood Springs Rd
Ste N12
Austin, TX 78759
Phone (512) 550-7918

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": "1556409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556409600000",
    "number": "1790349470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 EXECUTIVE CENTER DR STE 265",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311639",
            "telephone_number": "512-871-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 EXECUTIVE CENTER DR STE 265",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311639",
            "telephone_number": "512-871-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE PSYCHOLOGICAL AND COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-28",
        "last_updated": "2019-04-28",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "CRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-871-1100",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "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 Apr 28, 2019; 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.