Individual provider Active NPI

Benjamin James Ehrenfeld, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1003417668
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64867 Issued in TX
Practice address
1601 Trinity St
Austin, TX 78712-1765
Phone
(512) 495-5300
NPI assigned
Nov 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 64867 TX Primary

Addresses

Primary practice location

1601 Trinity St
Austin, TX 78712-1765

Mailing address

803 E 47TH St
Austin, TX 78751-3308
Phone (716) 308-8758

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ben.ehrenfeld@austin.utexas.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201110000023 TX Practitioner - Clinical Social Worker 0446660062 Reassigns benefits to 2 organizations
I20240412000048 OR Practitioner - Clinical Social Worker 0446660062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sokyahealth Medical Group PCGroup PAC ID 9739575648, 68 clinicians

Practice addresses (Care Compare)

4201 W Parmer LN
Suite B225
Austin, TX 78727-4160
Phone (877) 840-6956

8555 SW Apple Way
Suite 320
Portland, OR 97225-1775
Phone (877) 840-6956

Merit-based Incentive Payment System (MIPS)

Final score
79.35 of 100Reported as group
Quality
76.32
Improvement activities
40
Cost
74.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64867TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Austin Dell Medical School Current Accepting new patients
Sokyahealth Medical Group PC Clinical CurrentSince Mar 28, 2024 Accepting new patients
The University of Texas at Austin CurrentSince Nov 2, 2020 Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Nov 2, 2020 Accepting new patients
Headlight Health Medical Group PLLC CurrentSince Mar 10, 2026 Accepting new patients

Locations

700 NE Multnomah St
Ste 870
Portland, OR 97232
Phone (503) 238-5559

8555 SW Apple Way
Ste 320
Portland, OR 97225
Phone (503) 298-4592

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

1601 Trinity St
Stop Z0200
Austin, TX 78712
Phone (512) 495-5300

4201 W Parmer Ln
Ste B225
Austin, TX 78727

Networks

  • WA PPO C-SNP
  • TX HMO D-SNP
  • NM HMO C-SNP
  • TX HMO
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: benjamin.ehrenfeld.p1@direct.sokya.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1003417668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E 47TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513308",
            "telephone_number": "716-308-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121765",
            "telephone_number": "512-495-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENFELD",
        "first_name": "BENJAMIN",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ben.ehrenfeld@austin.utexas.edu",
            "affiliation": "N",
            "endpointDescription": "secure work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure work email",
            "address_1": "1601 Trinity St",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787121765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.