MEDICARE: MANDY KIDWELL BARRETT PHD, NCC, LPC, RPT

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	6185	LA
2	101YM0800X	Mental Health Counselor	82047	TX

General Provider Information

NPI Number	:	1912384371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANDY KIDWELL BARRETT PHD, NCC, LPC, RPT

Provider Business Mailing Address
First Line	:	2501 THORNTON RD APT 3203
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-5596
Country	:	US
Telephone Number	:	504-609-9997
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 MANCHACA RD STE 801
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-5379
Country	:	US
Telephone Number	:	504-609-9997
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2015
Last Update Date	:	09/25/2019

Similar Medicare Providers

1033072947 — AMANDA DE LA LLATA
Practice Location Address:

8700 MENCHACA RD STE 805
AUSTIN, TX
78748-5379

Practice Phone: 512-706-5677
Practice Fax:

1205060639 — MS. SARA BUCKLEY LCSW
Practice Location Address:

8700 MANCHACA RD , STE 801
AUSTIN, TX
78748-5379

Practice Phone: 512-298-8064
Practice Fax: 512-697-8279

1922402767 — ANA MARIA CABEZAS LPC
Practice Location Address:

8700 MANCHACA RD STE 801
AUSTIN, TX
78748-5379

Practice Phone: 512-765-4198
Practice Fax:

1013369834 — BRANDIE CONRAD LPC
Practice Location Address:

8700 MANCHACA RD STE 801
AUSTIN, TX
78748-5379

Practice Phone: 512-415-5877
Practice Fax:

1477029197 — DR. NICOLE MONE WILLIAMS EDD, LPC
Practice Location Address:

8700 MENCHACA RD STE 801
AUSTIN, TX
78748-5379

Practice Phone: 737-232-3358
Practice Fax: 737-215-3160

1629546122 — MORGAN MEYER COUNSELING, PLLC
Practice Location Address:

8700 MANCHACA RD STE 801
AUSTIN, TX
78748-5379

Practice Phone: 608-295-7377
Practice Fax:

Directions to “ MANDY KIDWELL BARRETT PHD, NCC, LPC, RPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.