ALIVE AUSTIN, LLC (NPI# 1477952323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477952323 |
| Entity Type | Organization |
| Organization Name | ALIVE AUSTIN, LLC |
| Practice Address |
6448 E Highway 290 E-114 Austin TX 78723-1068 |
| Practice Telephone | 5125610609 |
| Mailing Telephone | 5125610609 |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | FRANK COHN (DIRECTOR/CEO) |
| Authorized Official Telephone | 5123009761 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 18291 | TX | Agencies |
| Street Address |
6448 E HIGHWAY 290 E-114 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78723-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326067810 | Rick Treadway-teran | Marriage & Family Therapist | 6448 E Highway 290, Building E, Suite 113, Austin, TX 78723-1068 | 2006-07-18 |
| 1558754150 | Laura Maria Rodriguez | Counselor | 6448 E Highway 290, E-114, Austin, TX 78723-1068 | 2015-03-06 |
| 1629498993 | Austin Restorative Therapies | Clinic/Center | 6448 E Highway 290, Building E # 114, Austin, TX 78723-1068 | 2014-04-24 |
| 1982962924 | Lake Mi Mobile Doctors P.C. | Podiatrist | 6448 E Highway 290, Suite E-103, Austin, TX 78723-1068 | 2012-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787318 | Bridget Wilson | Counselor | 6448 East Hwy 290, Suite F108, Austin, TX 78723 | 2019-02-25 |
| 1700378999 | Andrew Christopher Shanks | Counselor | 2132 Antone St, Austin, TX 78723 | 2018-06-04 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1215433354 | Erika Senai Ramirez | Nurse Practitioner | 6900 Ed Bluestein Blvd, Austin, TX 78723 | 2018-04-05 |
| 1518477645 | Brigitte Tyree | Registered Nurse | 2237 Zach Scott St, Austin, TX 78723 | 2017-10-03 |
| 1942735980 | Ila Sehgal | Pediatrics | 4900 Mueller Blvd, Ste 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2017-04-27 |
| 1851825194 | Terry Blackmon | Behavioral Analyst | 2021 Zach Scott St, Austin, TX 78723 | 2017-04-13 |
| 1114337961 | Cassandra Sorensen | Home Health | 3001 Maplelawn Circle, Austin, TX 78723 | 2014-05-02 |
| 1336569052 | Ricky C Mehta | Internal Medicine | 6210 E Hwy 290 Ste 420, Austin, TX 78723 | 2014-04-21 |
| 1356761373 | Peter Caldwell Gilbreath | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2014-04-17 |
| Find all providers in zip 78723 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594450 | Jessica Hooson, Lcsw, P.l.l.c. | Community/Behavioral Health | 516 E Slaughter Ln Apt 402, Austin, TX 78744-0052 | 2020-10-06 |
| 1144834995 | Get Mental Atx | Community/Behavioral Health | 11407 Bristle Oak Trl, Austin, TX 78750-1307 | 2020-08-31 |
| 1104323799 | Martita A. Lopez, Ph.d., Pllc | Community/Behavioral Health | 711 W 38th St Bldg F-2, Austin, TX 78705-1121 | 2018-04-10 |
| 1861991242 | Your Psychologist Pllc | Community/Behavioral Health | 11615 Angus Rd Ste 108, Austin, TX 78759-4064 | 2018-02-12 |
| 1043754773 | Steiner Ranch Behavior Therapy Inc | Community/Behavioral Health | 8500 Mesa Dr, Side A, Austin, TX 78759-8120 | 2016-12-14 |
| 1841734803 | Austin Independent School District | Community/Behavioral Health | 5005 Caswell Ave, Austin, TX 78751-2622 | 2016-12-10 |
| 1073973822 | Signature Therapeutic Services | Community/Behavioral Health | 7920 San Felipe Blvd, 1218, Austin, TX 78729-7988 | 2016-03-07 |
| 1902265580 | Catholic Charities of Central Texas | Community/Behavioral Health | 1625 Rutherford Ln, Austin, TX 78754-5173 | 2016-02-11 |
| 1124483995 | Volunteers At The Creek | Community/Behavioral Health | 4110 Guadalupe St Bldg 635, Austin, TX 78751-4223 | 2015-12-22 |
| 1386026136 | The Center for Relationships, Inc. | Community/Behavioral Health | 8810 Business Park Dr, Suite 200, Austin, TX 78759-7437 | 2015-06-28 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.