Individual provider Active NPI

Jill Rene Arechiga, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1891270476
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
53049 Issued in TX
Practice address
11900 Stonehollow Dr Apt 422
Austin, TX 78758-3133
Phone
(512) 789-0992
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 53049 TX Primary

Addresses

Primary practice location

11900 Stonehollow Dr Apt 422
Austin, TX 78758-3133

Mailing address

11900 Stonehollow Dr Apt 422
Austin, TX 78758-3133
Phone (512) 789-0992

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
I20181105001951 TX Practitioner - Clinical Social Worker 4486907607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atx Therapy Center PLLCGroup PAC ID 7416488663, 2 clinicians

Practice addresses (Care Compare)

4131 Spicewood Springs Rd
Austin, TX 78759-8652
Phone (512) 814-6027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BMSC TX LLC Clinical CurrentSince Oct 1, 2018 Accepting new patients
Atx Therapy Center PLLC Clinical CurrentSince Aug 20, 2024 Accepting new patients

Locations

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

4131 Spicewood Springs Rd
Ste M1
Austin, TX 78759
Phone (512) 338-9697

Organizations & group practices 2

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": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1891270476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 STONEHOLLOW DR APT 422",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583133",
            "telephone_number": "512-789-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 STONEHOLLOW DR APT 422",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583133",
            "telephone_number": "512-789-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARECHIGA",
        "first_name": "JILL",
        "middle_name": "RENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.