OrganizationActive
Lake Travis Counseling Connection PLLC
NPI 1396209052 · Mental Health Clinic/Center (Including Community Mental Health Center) · Lakeway, TX
Provider details
- NPI number
- 1396209052
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jan Shope, Owner/Clinical Director(512) 263-4200
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
311 Ranch Road 620 S Ste 105
Lakeway, TX 78734-4747
Phone: (512) 263-4200
Fax: (512) 233-2867
Street-level locationGet directions
Mailing address
311 Ranch Road 620 S Ste 105
Lakeway, TX 78734-4747
Registry dates
- Enumerated
- 2019-01-28
- Last updated
- 2019-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.