Provider Demographics
NPI:1659833648
Name:NORTH AUSTIN COUNSELING AND EVALUATION. PLLC
Entity Type:Organization
Organization Name:NORTH AUSTIN COUNSELING AND EVALUATION. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:KARNES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-917-7943
Mailing Address - Street 1:13809 RESEARCH BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1165
Mailing Address - Country:US
Mailing Address - Phone:512-368-4122
Mailing Address - Fax:
Practice Address - Street 1:13809 RESEARCH BLVD STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1165
Practice Address - Country:US
Practice Address - Phone:512-368-4122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX13878729OtherCIGNA
TX9302LMOtherBCBS