Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roxane Van der Lelie, MFT-A

Individual provider Marriage & Family Therapist · NPI 1851153498

Roxane Van der Lelie, MFT-A is a Marriage and Family Therapist in Austin, Texas. Qualified in 2023, 3 years ago. Practices with Bloom Therapy PLLC, a 3-clinician group and works from 2 locations. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

1206 W 43rd St
Austin, TX 78756-3302
Phone: (512) 710-7645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1205 W 43rd St, Austin, TX 78756-3301 — (512) 710-7645

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 205075 (TX)

Record details

NPI number1851153498
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT-A
Sole proprietorNo
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Bloom Therapy Pllc — 3 clinicians
Accepts Medicare assignment Not indicated

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