Active NPI
William Bennett Knippa, PH.D.
- Counseling Psychologist
- Austin, TX
National Provider Identifier
1255585253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 22036
- Practice address
- 3701 Slaughter LN W
Austin, TX 78749-5902 - Phone
- (512) 663-9200
- NPI assigned
- Nov 5, 2008
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 22036 | TX | Primary |
Addresses
Primary practice location
3701 Slaughter LN W
Austin, TX 78749-5902
Mailing address
12505 Red Mesa Holw
Austin, TX 78739-7535
Phone (512) 282-1419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22036 | TX | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1255585253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12505 RED MESA HOLW",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787397535",
"telephone_number": "512-282-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 SLAUGHTER LN W",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787495902",
"telephone_number": "512-663-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIPPA",
"first_name": "WILLIAM",
"middle_name": "BENNETT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-05",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "22036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.