DEEP EDDY PSYCHOTHERAPY MANAGEMENT, LLC
NPI 1457740862
Psychologist - Counseling in Austin, TX

Active since January 22, 2015
508 DEEP EDDY AVE., AUSTIN, TX 78703(512) 956-6463(512) 428-8100 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deep Eddy Psychotherapy Management, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEEP EDDY PSYCHOTHERAPY MANAGEMENT, LLC (NPI 1457740862), doing business as Deep Eddy Psychotherapy, Pllc, is a healthcare organization registered as a counseling in Austin, Texas and active in the NPI registry since January 2015. The organization lists Glenn R. Olds, Managing Psychologist, as its authorized official.

NPPES Registry Identity

NPI1457740862
Entity TypeOrganization
Primary Taxonomy103TC1900X
Legal Business NameDEEP EDDY PSYCHOTHERAPY MANAGEMENT, LLC
Location Address508 DEEP EDDY AVE.Austin, TX 78703
Mailing Address508 Deep Eddy Ave.Austin, TX 78703 · (512) 461-0239 · Fax (512) 428-8100
Fax(512) 428-8100
Organization SubpartNo
Authorized OfficialGlenn R. OldsManaging Psychologist · (512) 217-9579
Enumeration DateJanuary 22, 2015
Last NPPES UpdateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
NPI 1457740862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
Licenses Licensed in TX · 34890 Licensed in TX · 34301 Licensed in TX · 20938 Licensed in TX · 33076
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 21274 (TX)
508 DEEP EDDY AVE., Austin, TX 78703

Other Names 1

Former Legal Business NameDeep Eddy Psychotherapy, Pllc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
508 DEEP EDDY AVE.
AUSTIN, TX 78703
Psychologist (Counseling)
508 DEEP EDDY AVE.
AUSTIN, TX 78703
Counselor
508 DEEP EDDY AVE.
AUSTIN, TX 78703
Counselor
508 DEEP EDDY AVE.
AUSTIN, TX 78703
Marriage & Family Therapist
508 DEEP EDDY AVE.
AUSTIN, TX 78703
Counselor
508 DEEP EDDY AVE.
AUSTIN, TX 78703
Counselor (Professional)
508 DEEP EDDY AVE.
AUSTIN, TX 78703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deep Eddy Psychotherapy Management, LLC's NPI number?

The NPI number for Deep Eddy Psychotherapy Management, LLC is 1457740862. It was assigned to this organization in the NPPES registry on January 22, 2015. The provider was formerly known as Deep Eddy Psychotherapy, PLLC.

Where is Deep Eddy Psychotherapy Management, LLC located?

Deep Eddy Psychotherapy Management, LLC is located at 508 Deep Eddy Ave., Austin, TX 78703. The listed phone number is (512) 956-6463.

What is Deep Eddy Psychotherapy Management, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

What insurance does Deep Eddy Psychotherapy Management, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Deep Eddy Psychotherapy Management, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deep Eddy Psychotherapy Management, LLC was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.