Healthcare Provider Details

I. General information

NPI: 1891304010
Provider Name (Legal Business Name): AUSTIN SCHRAG LMFT, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2020
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6220 N NEBRASKA AVE
TAMPA FL
33604-6257
US

IV. Provider business mailing address

6220 N NEBRASKA AVE
TAMPA FL
33604-6257
US

V. Phone/Fax

Practice location:
  • Phone: 512-710-2285
  • Fax:
Mailing address:
  • Phone: 512-710-2285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH25562
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number203015
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number78121
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT4006
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: