MEDICARE: MIND OASIS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1578419867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIND OASIS, PLLC

Provider Business Mailing Address
First Line	:	5900 BALCONES DR STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4298
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18402 U.S. HWY 281 N SUITE 281
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259
Country	:	US
Telephone Number	:	210-646-1663
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ASHLEIGH JEWETT
Credential	:	LCSW
Telephone Number	:	210-646-1663

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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