Alisar Eido, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

109556 Issued in TX

Practice address

4807 Spicewood Springs Rd Ste 1140
Austin, TX 78759-8479

Phone

(512) 843-7665

NPI assigned

Apr 2, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 28, 2025 through Apr 28, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Just Mind

  • Professional Counselor
  • Austin, TX
  • NPI 1962828236
  NPD
• Just Mind, LLC

  • Professional Counselor
  • Austin, TX
  • NPI 1962860544
  NPD (past)

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1801690482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HIDDEN VALLEY DR APT 821",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 SPICEWOOD SPRINGS RD STE 1140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598479",
            "telephone_number": "512-843-7665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Joe DiMaggio Blvd Ste 28",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786653994",
            "country_code": "US",
            "telephone_number": "737-242-7156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EIDO",
        "first_name": "ALISAR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Eichenbaum
• Edna Eichler, NP
• Julius W Eickenhorst, D.D.S., M.S.
• Mariam Maaz Eid, RD
• Tania Eid
• Kelsey Blair Eidson, LPC, R-DMT, NCC
• Eight Eleven Investments PLLC
• Elaine M Eike, RNC NNP MSN
• Maxine Eiland
• William A Eilers III, M.D.

• 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 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.