Individual provider Active NPI

Teresa Marie Gross, LPC

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1962967521
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
76620 Issued in TX
Practice address
9011 Mountain Ridge Dr Ste 250
Austin, TX 78759-7640
Phone
(512) 578-8070
Fax
(512) 578-8070
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 76620 TX Primary

Addresses

Primary practice location

9011 Mountain Ridge Dr Ste 250
Austin, TX 78759-7640

Mailing address

12403 Mellow Meadow Dr Apt 18104
Austin, TX 78750-1962
Phone (512) 203-4940

Other identifiers 1

IdentifierTypeStateIssuer
1992187702OtherTXGROUP MENTAL HEALTH PRACTICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 17, 2024 through Apr 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
76620TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cerebral Medical Group, a Professional Corporation Past Accepting new patients

Organizations & group practices 1

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1962967521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12403 MELLOW MEADOW DR APT 18104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501962",
            "telephone_number": "512-203-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 MOUNTAIN RIDGE DR STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597640",
            "telephone_number": "512-578-8070",
            "fax_number": "512-578-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MENTAL HEALTH PRACTICE",
            "identifier": "1992187702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.