Organization Active NPI

Organic Mental Health Center, PLLC

  • Adult Mental Health Clinic/Center
  • Austin, TX
National Provider Identifier
1801665484
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ORGANIC MENTAL HEALTH CENTER, PLLC
Practice address
1006 S 8TH St
Austin, TX 78704-2367
Phone
(512) 200-3359
NPI assigned
Dec 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

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

Authorized official

Name
Kelli Foulkrod, MS, LPA, LPC
Title
Owner
Phone
(512) 200-3359

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Religious Nonmedical PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 374K00000X

Addresses

Primary practice location

1006 S 8TH St
Austin, TX 78704-2367

Mailing address

PO Box 493
Del Valle, TX 78617-0493
Phone (512) 264-4755

National Provider Directory

National Provider Directory

Locations

1006 S 8th St
Austin, TX 78704
Phone (512) 200-3359

NPI Registry JSON

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703462400000",
    "number": "1801665484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "786170493",
            "telephone_number": "512-264-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 S 8TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042367",
            "telephone_number": "512-200-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORGANIC MENTAL HEALTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-24",
        "status": "A",
        "authorized_official_last_name": "FOULKROD",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-200-3359",
        "authorized_official_credential": "MS, LPA, LPC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 25, 2023; 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.