Individual provider Active NPI

Aron Xavier Bautista, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1821258047
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19839 Issued in TX
Practice address
8103 Brodie LN
Suite 1
Austin, TX 78745-7473
Phone
(512) 282-2282
Fax
(512) 282-2272
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 19839 TX Primary

Addresses

Primary practice location

8103 Brodie LN
Suite 1
Austin, TX 78745-7473

Mailing address

8103 Brodie LN
Suite 1
Austin, TX 78745-7473
Phone (512) 282-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240101000096 TX Practitioner - Mental Health Counselor 9436467750 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19839TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Center for Therapy and Assessment Professional CurrentSince Jul 6, 2015 Accepting new patients

Locations

8103 Brodie Ln
Ste 1
Austin, TX 78745
Phone (512) 282-2282

5920 W William Cannon Dr
Bldg 6-222
Austin, TX 78749
Phone (512) 282-2282

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1821258047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 BRODIE LN",
            "address_2": "SUITE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787457473",
            "telephone_number": "512-282-2282",
            "fax_number": "512-282-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8103 BRODIE LN",
            "address_2": "SUITE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787457473",
            "telephone_number": "512-282-2282",
            "fax_number": "512-282-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "ARON",
        "middle_name": "XAVIER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.