OrganizationActive
Deep Waters Austin LLC
NPI 1023534294 · Mental Health Clinic/Center (Including Community Mental Health Center) · Austin, TX
Provider details
- NPI number
- 1023534294
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Baca Davila, Member(512) 939-7769
- License
- 71881 (TX)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 71881 (TX)
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13740 Research Blvd Ste N8
Austin, TX 78750-1834
Phone: (512) 939-7769
Fax: (512) 939-7769
Approximate (ZIP-level) locationGet directions
Mailing address
312 Brentwood Dr
Leander, TX 78641-9431
Other names (DBA / former)
- Other name
- Jennifer Baca Lpc
Registry dates
- Enumerated
- 2017-08-18
- Last updated
- 2017-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.