Organization Active NPI

Mindful Growth & Trauma Recovery, PLLC

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1891221735
Registry record updated Nov 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
72306 Issued in TX
Legal business name
MINDFUL GROWTH & TRAUMA RECOVERY, PLLC
Practice address
4425 S Mo Pac Expy Ste 502
Austin, TX 78735-6725
Phone
(512) 270-1513
NPI assigned
May 11, 2017
Last updated
Nov 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2017

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

Authorized official

Name
Kathleen Morton, LPCNPI 1043573520
Title
Owner/ Member
Phone
(703) 944-2929

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 72306 TX Primary

Addresses

Primary practice location

4425 S Mo Pac Expy Ste 502
Austin, TX 78735-6725

Mailing address

4425 S Mo Pac Expy Ste 502
Austin, TX 78735-6725
Phone (512) 270-1513

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509753600000",
    "number": "1891221735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 S MO PAC EXPY STE 502",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356725",
            "telephone_number": "512-270-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 S MO PAC EXPY STE 502",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356725",
            "telephone_number": "512-270-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL GROWTH & TRAUMA RECOVERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-11-04",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/ MEMBER",
        "authorized_official_telephone_number": "703-944-2929",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "72306",
            "primary": true
        }
    ],
    "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 Nov 4, 2017; 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.