Active NPI
Teresa Marie Gross, LPC
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1962967521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 76620
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992187702 | Other | TX | GROUP 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
| License | State | Type | Specialty |
|---|---|---|---|
| 76620 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
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- Glendale, CA
- NPI 1992355879
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.