Organization Active NPI

Madrone Center for Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • New Braunfels, TX
National Provider Identifier
1881114866
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
69730 Issued in TX
Legal business name
MADRONE CENTER FOR COUNSELING, PLLC
Practice address
2115 Stephens PL Ste 410E
New Braunfels, TX 78130-2170
Phone
(972) 379-8303
NPI assigned
Jun 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Audrey Futrell, LPC, LCDCNPI 1285007153
Title
Owner
Phone
(469) 556-1081

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 69730 TX Primary
Adult Mental Health Clinic/Center 261QM0850X 12817 TX
Adolescent and Children Mental Health Clinic/Center 261QM0855X 69730 TX
Adolescent and Children Mental Health Clinic/Center 261QM0855X 12817 TX

Addresses

Primary practice location

2115 Stephens PL Ste 410E
New Braunfels, TX 78130-2170

Mailing address

2115 Stephens PL Ste 410E
New Braunfels, TX 78130-2170
Phone (972) 379-8303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240131002694 TX Part B Supplier - Clinic/Group Practice 2567815012 Receives reassigned benefits from 1 practitioner
Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

2115 Stephens Pl
Ste 410E
New Braunfels, TX 78130
Phone (972) 379-8303

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": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881114866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 STEPHENS PL STE 410E",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302170",
            "telephone_number": "972-379-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 STEPHENS PL STE 410E",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302170",
            "telephone_number": "972-379-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRONE CENTER FOR COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FUTRELL",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-556-1081",
        "authorized_official_credential": "LPC, LCDC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "69730",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "12817",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": "69730",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": "12817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.