AUSTIN TRAVIS COUNTY MHMR CENTER (NPI# 1558498790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558498790 |
| Entity Type | Organization |
| Organization Name | AUSTIN TRAVIS COUNTY MHMR CENTER |
| Other Organization Name | ATCMHMR ECI CASE MANAGEMENT |
| Practice Address |
1717 W 10th St Austin TX 78703-3907 |
| Mailing Address |
Po Box 3548 Austin TX 78764-3548 |
| Practice Telephone | 5128043100 |
| Practice Fax Number | 5124723103 |
| Mailing Telephone | 5124457787 |
| Mailing Fax Number | 5124404059 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES RUSSEL VAN NORMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5124404021 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 00P336 | 01 |
| Other Name | Type Code |
|---|---|
| ATCMHMR ECI Case Management | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720377591 | Austin Travis County Mhmr Center | Clinic/Center | 825 East Rundberg Lane, Unit F, Austin, TX 78753 | 2011-04-01 |
| 1366740813 | Austin Travis County Mhmr Center | Clinic/Center | 4019 Manchaca Rd, Austin, TX 78704-6737 | 2011-03-08 |
| 1962539569 | Austin Travis County Mhmr Center | Case Management | 1631 E 2nd St Ste D, Austin, TX 78702-4491 | 2007-02-28 |
| 1578690798 | Austin Travis County Mhmr Center | Case Management | 1631 E 2nd St Ste D, Austin, TX 78702-4491 | 2007-02-27 |
| 1346377579 | Austin Travis County Mhmr Center | Psychologist | 5225 N Lamar Blvd, Austin, TX 78751-1820 | 2007-02-27 |
| Street Address |
1717 W 10TH ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78703-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215914908 | Wendy C. Hoffman | Speech-Language Pathologist | 1717 W 10th St, Austin, TX 78703-3907 | 2005-12-23 |
| 1265061360 | Emily Marie Hammer | Social Worker | 1717 W 10th St, Austin, TX 78703-3907 | 2020-04-02 |
| 1316575871 | Latrice Renee Coleman | Counselor | 1717 W 10th St, Austin, TX 78703-3907 | 2020-03-31 |
| 1780217778 | Jennifer James | Counselor | 1717 W 10th St, Austin, TX 78703-3907 | 2020-02-18 |
| 1841839198 | Kristin Laurel Coldsnow | Social Worker | 1717 W 10th St, Austin, TX 78703-3907 | 2020-01-04 |
| 1578106100 | Azadeh Ahmadi | Counselor | 1717 W 10th St, Austin, TX 78703-3907 | 2019-10-27 |
| 1225683048 | Margaret Whitehair | Counselor | 1717 W 10th St, Austin, TX 78703-3907 | 2019-08-08 |
| 1366912313 | Abigail Nickle | Social Worker | 1717 W 10th St, Austin, TX 78703-3907 | 2018-12-03 |
| 1891261491 | Lynn Anne Panepinto | Social Worker | 1717 W 10th St, Austin, TX 78703-3907 | 2018-10-22 |
| 1760998041 | Kelly Johanna Bodu Tarrant | Marriage & Family Therapist | 1717 W 10th St, Austin, TX 78703-3907 | 2017-12-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158261 | Kelly Witte | Nurse Practitioner | 501 Hearn Street, Austin, TX 78703 | 2020-09-09 |
| 1053779207 | Bodhi Leaf, Pllc | Social Worker | 1300 West Lynn Drive, Suite 207, Austin, TX 78703 | 2016-02-03 |
| 1073904447 | Danielle Frommer | Behavioral Analyst | 311 Bowie St Apt 1903, Austin, TX 78703 | 2015-02-06 |
| 1437391711 | Brett Douglas Macadam | Radiology | 3112 Windsor Rd #517, Radiology Specialists of Central Texas, Austin, TX 78703 | 2009-04-01 |
| 1184878191 | Albright Medical Associates | Family Medicine | 800 W. 5th St, #201, Austin, TX 78703 | 2008-11-05 |
| 1063616662 | Anna C Bell | Pediatrics | 1912 N. 35th St., Austin, TX 78703 | 2007-06-14 |
| 1447472808 | Austin Wellness Institute | General Practice | 1501 W 5th Street, Suite 109, Austin, TX 78703 | 2007-05-03 |
| 1487871968 | Joni K Wallace | Dentist | 2414 Exposition Blvd, Suite B-105, Austin, TX 78703 | 2007-04-19 |
| 1073631339 | Tays General Dentistry Pa | Dentist | 3404 Kerbey Lane, Austin, TX 78703 | 2007-03-26 |
| 1083758270 | Amy Carlisle Goodwin | Counselor | 2408 Enfield Rd, #213, Austin, TX 78703 | 2007-02-19 |
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| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611029 | Direct Evaluation LLC | Case Management | 2028 E Ben White Blvd Ste 240-5200, Austin, TX 78741-6966 | 2020-08-28 |
| 1407495765 | Hospital Group of Mexico | Case Management | 2028 E Ben White Blvd Ste 240-2110, Austin, TX 78741-6966 | 2020-01-03 |
| 1225512601 | Generation Able | Case Management | 8100 W Anderson Mill Rd Apt 3102, Austin, TX 78729 | 2018-09-20 |
| 1366831349 | Revlon Wilson | Case Management | 13021 Legendary Dr, Apt 1334, Austin, TX 78727-3934 | 2015-01-14 |
| 1285053850 | Michell Berkley | Case Management | 5706 Boulder Crk, Austin, TX 78724-3402 | 2014-04-10 |
| 1477974228 | The Solomon Group, LLC | Case Management | 5508 W Highway 290, Suite 300, Austin, TX 78735-8816 | 2013-12-20 |
| 1477980340 | Growing Roots | Case Management | 2921 E 17th St, Bldg D, Suite 4, Austin, TX 78702-1509 | 2013-10-08 |
| 1699036368 | Community Options, Inc. | Case Management | 9403 Hunters Trce, Austin, TX 78758-6201 | 2012-05-30 |
| 1972817484 | Elaine Carlson Mittel | Case Management | 13005 Humphrey Dr, Austin, TX 78729-7341 | 2010-07-27 |
| 1003143819 | Mower County Human Services | Case Management | 1301 18th Ave Nw Ste A, Austin, MN 55912-1988 | 2009-11-16 |
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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.