Active NPI
Julianne G Bohnenkamp, LMSW
- Social Worker
- Houston, TX
National Provider Identifier
1215717434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104226
- Practice address
- 6420 Hillcroft St
Houston, TX 77081-3190 - Phone
- (713) 776-4700
- NPI assigned
- Oct 4, 2023
- Last updated
- Oct 4, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 104226 | TX | Primary |
Addresses
Primary practice location
6420 Hillcroft St
Houston, TX 77081-3190
Mailing address
6420 Hillcroft St
Houston, TX 77081-3190
Phone (713) 776-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 6149
Aloha, OR 97007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104226 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Garcia Memorial Health Center | Current | Accepting new patients | |
| Virginia Garcia Memorial Health Center | Current | Accepting new patients |
Locations
1151 N Adair St
Cornelius, OR 97113
Phone (503) 352-8552
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Cornelius, OR
- NPI 1679528012
-
- Federally Qualified Health Center (FQHC)
- Hillsboro, OR
- NPI 1053859694
-
- Federally Qualified Health Center (FQHC)
- Hillsboro, OR
- NPI 1457229197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1215717434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 HILLCROFT ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770813190",
"telephone_number": "713-776-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 HILLCROFT ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770813190",
"telephone_number": "713-776-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHNENKAMP",
"first_name": "JULIANNE",
"middle_name": "G",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-04",
"last_updated": "2023-10-04",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "104226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.