AUSTIN CHILD GUIDANCE CENTER (NPI# 1912054776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912054776 |
| Entity Type | Organization |
| Organization Name | AUSTIN CHILD GUIDANCE CENTER |
| Practice Address |
810 W 45th St Austin TX 78751-2802 |
| Practice Telephone | 5124512242 |
| Practice Fax Number | 5124549204 |
| Mailing Telephone | 5124512242 |
| Mailing Fax Number | 5124549204 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2012-07-03 |
| Authorized Official Name | MRS. SUSANNE MATTHEWS (ADMIN. DIRECTOR) |
| Authorized Official Telephone | 5124512242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHEILD | 01043JC | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AUSTIN CHILD GUIDANCE CENTER | 810 W 45th St, Austin, TX 78751-2802 |
| Street Address |
810 W 45TH ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78751-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880673 | Tameka Thompson | Counselor | 810 W 45th St, Austin, TX 78751-2802 | 2020-10-29 |
| 1306477120 | Evelyn Azuela | Counselor | 810 W 45th St, Austin, TX 78751-2802 | 2020-01-30 |
| 1194299784 | Melissa Erb | Social Worker | 810 W 45th St, Austin, TX 78751-2802 | 2019-01-16 |
| 1013483965 | Cassandra Moreno | Counselor | 810 W 45th St, Austin, TX 78751 | 2018-10-18 |
| 1639645583 | Keri Moran | Social Worker | 810 W 45th St, Austin, TX 78751-2802 | 2018-10-18 |
| 1477074359 | Kelley Roberts | Social Worker | 810 W 45th St, Austin, TX 78751-2802 | 2017-06-30 |
| 1861842015 | Andrea Ciceri | Social Worker | 810 W 45th St, Austin, TX 78751-2802 | 2016-06-20 |
| 1093178345 | Sarah Fankhauser | Social Worker | 810 W 45th St, Austin, TX 78751-2802 | 2016-04-04 |
| 1750744900 | Sara Wakefield | Social Worker | 810 W 45th St, Austin, TX 78751-2802 | 2016-04-04 |
| 1437533304 | Julie Hsu | Psychologist | 810 W 45th St, Austin, TX 78751-2802 | 2015-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235657867 | Joy Miller | Social Worker | 4920 N Ih 35 Suite 110, Austin, TX 78751 | 2017-09-04 |
| 1053859306 | Metabolic Therapy Inc. | Pharmacy | 4103 Avenue D, Austin, TX 78751 | 2017-02-07 |
| 1316390438 | Hillary Guest | Speech-Language Pathologist | 5406 Middle Fiskville Rd Apt 410, Austin, TX 78751 | 2016-07-14 |
| 1891151866 | Simonek Vision, Pllc | Optometrist | 1000 E. 41st Street, Suite 120, Austin, TX 78751 | 2016-01-06 |
| 1750771911 | Angela Ziskis | Psychologist | 4110 Gualdalupe Street, Building 794, Specialty Services, Austin, TX 78751 | 2015-01-27 |
| 1750783841 | Lizette Araujo | Psychologist | 5225 North Lamar Blvd., Austin, TX 78751 | 2014-09-19 |
| 1013323724 | Matrix Therapy, LLC | Clinic/Center | 5204 Avenue F, Austin, TX 78751 | 2014-07-02 |
| 1215281738 | Elizabeth Ann White | Clinical Nurse Specialist | 818 East 53rd Street, Austin, TX 78751 | 2012-11-06 |
| 1619259934 | Samir K Momin | Dentist | 1000 E 41st Street, Suite 230, Austin, TX 78751 | 2011-09-13 |
| 1467740753 | Gary G. Plakias | Technician, Other | 5400 N Lamar Blvd, 206b, Austin, TX 78751 | 2011-07-20 |
| Find all providers in zip 78751 | ||||
| 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 |
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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.