KELLY JOHANNA BODU TARRANT (NPI# 1760998041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760998041 |
| Entity Type | Individual |
| Full Name | KELLY JOHANNA BODU TARRANT |
| Credential | LMFT |
| Practice Address |
1717 W 10th St Austin TX 78703-3907 |
| Mailing Address |
1430 Collier St Austin TX 78704-2911 |
| Practice Telephone | 5124724357 |
| Practice Fax Number | 5127031394 |
| Mailing Telephone | 5124724357 |
| Mailing Fax Number | 5127031394 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 203143 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 S Captl Tx Hwy Ste 100, West Lake Hills, TX 787466574 | 5125235770 |
| 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 |
| 1174033625 | Samuel Janzen | Social Worker | 1717 W 10th St, Austin, TX 78703-3907 | 2017-10-10 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 78703 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475872 | Delia Virginia Esparza | Marriage & Family Therapist | 8501 Alophia Dr, Austin, TX 78739-2105 | 2020-07-23 |
| 1679191514 | April Cooke | Marriage & Family Therapist | 901 Red River St Apt 1307, Austin, TX 78701-2799 | 2020-07-07 |
| 1295357119 | Brett Brightwell | Marriage & Family Therapist | 7800 N Mopac Expy Ste 120, Austin, TX 78759-8959 | 2020-05-13 |
| 1275153496 | Laura Jean Evans | Marriage & Family Therapist | 1300 Kirkwood Rd Unit A, Austin, TX 78722-1508 | 2020-04-17 |
| 1841829256 | Aaron Maleare | Marriage & Family Therapist | 12675 Research Blvd, Austin, TX 78759-2218 | 2020-04-07 |
| 1184253908 | Gina Elizabeth Tamplin | Marriage & Family Therapist | 1100 S Lamar Blvd Apt 1413, Austin, TX 78704-0198 | 2020-04-03 |
| 1518592393 | Veronica Vaupel | Marriage & Family Therapist | 9430 Research Blvd Ste II140, Austin, TX 78759-5866 | 2020-03-11 |
| 1447896535 | Jamie Shepherd | Marriage & Family Therapist | 8705 Shoal Creek Blvd Ste 108, Austin, TX 78757-6839 | 2019-11-23 |
| 1487297305 | Stephanie Walthall | Marriage & Family Therapist | 9430 Research Blvd Ste 140, Austin, TX 78759-6586 | 2019-10-23 |
| 1740846310 | Kimberly Gould | Marriage & Family Therapist | 601 Farley Dr, Austin, TX 78753-3114 | 2019-05-19 |
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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.