AUSTIN TRAVIS COUNTY MENTAL HEALTH AND MENTAL RETARDATION CENTER (NPI# 1750337259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750337259 |
| Entity Type | Organization |
| Organization Name | AUSTIN TRAVIS COUNTY MENTAL HEALTH AND MENTAL RETARDATION CENTER |
| Other Organization Name | INTEGRAL CARE |
| Practice Address |
1430 Collier St Austin TX 78704-2911 |
| Practice Telephone | 5124724357 |
| Practice Fax Number | 5127031394 |
| Mailing Telephone | 5124474141 |
| Mailing Fax Number | 5124404080 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2018-02-08 |
| Authorized Official Name | DR. CRAIG B. FRANKE (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 5124474141 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 133542405 | 05 | |
| TX | MH REHAB | 1335424-04 | 01 |
| TX | MR SC | 1335424-01 | 01 |
| TX | BLUE CROSS BLUE SHIELD TX | 00P336 | 01 |
| TX | ECI CM | 017413801 | 01 |
| TX | MH CM | 1335242-02 | 01 |
| Other Name | Type Code |
|---|---|
| Integral Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053632505 | Austin Travis County Mental Health and Mental Retardation Center | Substance Abuse Rehabilitation Facility | 1165 Airport Blvd, Austin, TX 78702-3152 | 2010-06-18 |
| 1831393990 | Austin Travis County Mental Health and Mental Retardation Center | Nursing Care | 5225 N Lamar Blvd, Austin, TX 78751-1820 | 2007-06-13 |
| Street Address |
1430 COLLIER ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919120 | Tonya Rene' Edwards | Licensed Vocational Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2020-07-13 |
| 1205466356 | Emma Wilkes Smith | Registered Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2020-01-16 |
| 1912547050 | Kimberly Renee Faver | Dietitian, Registered | 1430 Collier St, Austin, TX 78704-2911 | 2020-01-07 |
| 1003455130 | Sophie Martin | Dietitian, Registered | 1430 Collier St, Austin, TX 78704-2911 | 2020-01-06 |
| 1740838101 | Paul Boring | Registered Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2019-08-29 |
| 1386296960 | Kimberly Elaine Goodman | Registered Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2019-07-12 |
| 1710547179 | Bruce Shelby | Licensed Vocational Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2019-06-18 |
| 1033777057 | Vickie Elaine Carrington | Licensed Practical Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2019-06-04 |
| 1508328725 | Giselle Aguirre | Counselor | 1430 Collier St, Austin, TX 78704-2911 | 2019-04-05 |
| 1306310552 | Jill Lassi Scott | Registered Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2019-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457385 | Rachel Marie Trembley | Counselor | 10403 School House Ln, Austin, TX 78750-1728 | 2020-11-05 |
| 1619578614 | Naquasha Riser | Counselor | 9415 Mcneil Dr Apt 623, Austin, TX 78750-8560 | 2020-11-05 |
| 1811596372 | Alexandra Caron | Counselor | 11900 Hobby Horse Ct Apt 434, Austin, TX 78758-2953 | 2020-10-25 |
| 1003415068 | Thomas Craig Saathoff | Counselor | 1616 Headway Cir, Austin, TX 78754-5106 | 2020-10-21 |
| 1699373746 | Molly Roth | Counselor | 7703 N Lamar Blvd Ste 500, Austin, TX 78752-1055 | 2020-10-12 |
| 1063010098 | Lindsey Witz | Counselor | 2525 Wallingwood Dr Ste 301, Austin, TX 78746-6922 | 2020-10-12 |
| 1396350823 | Natalie Hussung Schneider | Counselor | 7703 N Lamar Blvd Ste 340, Austin, TX 78752-1061 | 2020-09-11 |
| 1174135818 | Melanie Dyer | Counselor | 401 Little Texas Ln Apt 1526, Austin, TX 78745-4135 | 2020-08-22 |
| 1366053563 | Selena E Coburn | Counselor | 4424 Gaines Ranch Loop Apt 1434, Austin, TX 78735-6540 | 2020-08-11 |
| 1235748674 | Paz Behavioral Health, Pllc | Counselor | 3310 W Braker Ln Ste 300545, Austin, TX 78758-7853 | 2020-07-30 |
| 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.