Active NPI
Benjamin James Ehrenfeld, LCSW
- Clinical Social Worker
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 64867
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ben.ehrenfeld@austin.utexas.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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 100
- Quality
- 76.32
- Improvement activities
- 40
- Cost
- 74.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64867 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas at Austin Dell Medical School | Current | Accepting new patients | |
| Sokyahealth Medical Group PC | Clinical | Current | Accepting new patients |
| The University of Texas at Austin | Current | Accepting new patients | |
| University of Texas at Austin Dell Medical School | Current | Accepting new patients | |
| Headlight Health Medical Group PLLC | Current | 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
- 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.
-
- General Practice Physician
- Austin, TX
- NPI 1073066239
-
- General Practice Physician
- Austin, TX
- NPI 1073032546
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1780218305
-
- Psychiatry Physician
- San Diego, CA
- NPI 1649064486
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.