Organization Active NPI

Third Summit Group, Inc.

Doing business as Ellie Mental Health

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1841077245
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THIRD SUMMIT GROUP, INC.
Doing business as
Ellie Mental Health
Practice address
13341 W Hwy 290 Ste 1-105
Austin, TX 78737-9160
Phone
(210) 913-7791
NPI assigned
Sep 11, 2023
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Ms. Rosemary Elizalde
Title
President/Ceo
Phone
(210) 913-7791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

13341 W Hwy 290 Ste 1-105
Austin, TX 78737-9160

Mailing address

13341 W Hwy 290 Ste 1-105
Austin, TX 78737-9160
Phone (210) 913-7791

Other names 1

  • Ellie Mental Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1841077245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13341 W HWY 290 STE 1-105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787379160",
            "telephone_number": "210-913-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13341 W HWY 290 STE 1-105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787379160",
            "telephone_number": "210-913-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD SUMMIT GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-12-15",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "ELIZALDE",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "210-913-7791",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 15, 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.