AUSTIN RESTORATIVE THERAPIES (NPI# 1629498993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629498993 |
| Entity Type | Organization |
| Organization Name | AUSTIN RESTORATIVE THERAPIES |
| Practice Address |
6448 E Highway 290 Building E # 114 Austin TX 78723-1068 |
| Practice Telephone | 5124300540 |
| Practice Fax Number | 8667883579 |
| Mailing Telephone | 5124300540 |
| Mailing Fax Number | 8667883579 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |
| Authorized Official Name | RICK TREADWAY-TERAN (EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5124300540 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
40138 | CA | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
201227 | TX | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
201227 | TX | Ambulatory Health Care Facilities |
| Street Address |
6448 E HIGHWAY 290 BUILDING 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 |
| 1477952323 | Alive Austin, LLC | Community/Behavioral Health | 6448 E Highway 290, E-114, Austin, TX 78723-1068 | 2014-08-16 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313112 | Onyx Counseling and Wellness Center | Clinic/Center | 706 W Ben White Blvd Ste 170, Austin, TX 78704-8124 | 2020-03-31 |
| 1487299756 | Brittney Roberts Psychotherapy, Pllc | Clinic/Center | 5304 Woodrow Ave # A, Austin, TX 78756-2107 | 2019-11-11 |
| 1013474378 | Lara Hernandez Therapy, Pllc | Clinic/Center | 3810 Medical Pkwy Ste 255, Austin, TX 78756-4014 | 2019-02-22 |
| 1760957765 | Bravo Counseling Center, Pllc | Clinic/Center | 3305 Northland Drive, Suite 509, Austin, TX 78731-5039 | 2018-10-06 |
| 1700903861 | Jenan M Salman | Clinic/Center | 2908 Lantana Ridge Dr, Austin, TX 78732-2009 | 2007-03-23 |
| 1215007141 | Providence Service Corporation of Texas | Clinic/Center | 1524 S. Ih35, Suite 210, Austin, TX 78704 | 2006-11-08 |
| 1609814268 | Merchants of Hope Charities, Inc. | Clinic/Center | 2406 Manor Rd, Austin, TX 78722-2005 | 2006-06-03 |
| 1467068247 | Ample and Rooted Pllc | Clinic/Center | 1700 S Lamar Blvd Ste 338, Austin, TX 78704-3363 | 2020-09-17 |
| 1932722378 | Ellie Rogers Counseling Pllc | Clinic/Center | 1211 Alexander Ave, Austin, TX 78702-2421 | 2020-05-20 |
| 1861015208 | Cassie Segerson Counseling, Pllc | Clinic/Center | 1211 Alexander Ave, Austin, TX 78702-2421 | 2020-05-20 |
| 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.