KELLY JOHANNA BODU LMFT
NPI 1760998041
Marriage & Family Therapist in Austin, TX

Active since December 21, 2017
1717 W 10TH ST, AUSTIN, TX 78703(512) 472-4357(512) 703-1394 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2020, Jul 14, 2020, Dec 21, 2017 (3 updates tracked since 2017).

About Kelly Johanna Bodu Lmft NPPES

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

KELLY JOHANNA BODU LMFT (NPI 1760998041) is an individual marriage & family therapist in Austin, Texas, licensed in Texas (203143) and active in the NPI registry since December 2017. She maintains a secondary practice location in West Lake Hills.

NPPES Registry Identity

NPI1760998041
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY JOHANNA BODUCredential: LMFT
Location Address1717 W 10TH STAustin, TX 78703-3907
Mailing Address1430 Collier StAustin, TX 78704-2911 · (512) 472-4357 · Fax (512) 703-1394
Fax(512) 703-1394
Sole ProprietorNo
Enumeration DateDecember 21, 2017
Last NPPES UpdateNovember 18, 20203 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
NPI 1760998041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in TX · 203143
Definition
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.
1717 W 10TH ST, Austin, TX 78703

Secondary Practice Location 1

Location 11301 S Captl Tx Hwy Ste 100West Lake Hills, TX 78746-6574 · Phone (512) 523-5770

Other Providers at the Same Location NPPES 20

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

Registered Nurse
1717 W 10TH ST
AUSTIN, TX 78703
Speech-Language Pathologist
1717 W 10TH ST
AUSTIN, TX 78703
Social Worker (Clinical)
1717 W 10TH ST
AUSTIN, TX 78703
Counselor (Professional)
1717 W 10TH ST
AUSTIN, TX 78703
Social Worker (Clinical)
1717 W 10TH ST
AUSTIN, TX 78703
Social Worker (Clinical)
1717 W 10TH ST
AUSTIN, TX 78703
Counselor (Professional)
1717 W 10TH ST
AUSTIN, TX 78703
Counselor (Professional)
1717 W 10TH ST
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 Kelly Bodu's NPI number?

The NPI number for Kelly Bodu is 1760998041. It was assigned to this individual provider in the NPPES registry on December 21, 2017.

Where is Kelly Bodu located?

Kelly Bodu practices at 1717 W 10th St, Austin, TX 78703. The listed phone number is (512) 472-4357.

What is Kelly Bodu's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Kelly Bodu was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.