NPIMap

Organization Active NPI

Emh Central NW Austin Clinic PLLC

Doing business as Ellie Mental Health

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1932834371
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EMH CENTRAL NW AUSTIN CLINIC PLLC
Doing business as
Ellie Mental Health
Practice address
4917 Westview Dr
Austin, TX 78731-4735
Phone
(512) 658-8385
NPI assigned
Jul 20, 2022
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Scott Spaw, LPC-SNPI 1508199878
Title
Owner
Phone
(936) 635-5634

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4917 Westview Dr
Austin, TX 78731-4735

Mailing address

4917 Westview Dr
Austin, TX 78731-4735
Phone (512) 658-8385

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125001932 TX Part B Supplier - Clinic/Group Practice 6103279260 Receives reassigned benefits from 8 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

7719 Wood Hollow Dr
Ste 201
Austin, TX 78731
Phone (512) 610-7719

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1932834371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 WESTVIEW DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314735",
            "telephone_number": "512-658-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 WESTVIEW DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314735",
            "telephone_number": "512-658-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMH CENTRAL NW AUSTIN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "SPAW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-635-5634",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "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 Jul 20, 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.