AXOLOTL MENTAL HEALTH PLLC — NPI 1902746043 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1902746043

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103T00000X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist

Box 32 Service Location & ZIP+4

431 MIDDLE CRK, BUDA, TX, 78610-2765

✓ 9-Digit EDI 837 ZIP+4 (78610-2765)

Practice Phone & Referral Fax

(214) 738-8712

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1902746043 (AXOLOTL MENTAL HEALTH PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1902746043` (NPI-2 Organization / Facility)
Provider / Legal Name	AXOLOTL MENTAL HEALTH PLLC
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist NUCC Code: `103T00000X` (Psychologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	431 MIDDLE CRK, BUDA, TX, 78610-2765
Practice Telephone / Fax	Tel: (214) 738-8712
Administrative Mailing Address	431 MIDDLE CRK, BUDA, TX, 78610-2765
Enumeration & Last Sync	Enumerated: 2026-03-30 \| CMS Record Updated: 2026-04-14
Authorized Official	TIFFANY POINSETT (Licensed Clinical Social Worker)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

431 MIDDLE CRK, BUDA, TX, 78610-2765

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Plain-English Taxonomy & CMS Crosswalk (103T00000X)

What Does Taxonomy Code 103T00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103T00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AXOLOTL MENTAL HEALTH PLLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: N/A \| License: `Verified` \| Primary: Secondary
`103T00000X` — Psychologist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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AXOLOTL MENTAL HEALTH PLLC (NPI #1902746043)