Active NPI
Charla Ann Lineman, LMFT ASSOCIATE
- Marriage & Family Therapist
- Austin, TX
National Provider Identifier
1265130348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 204875
- Practice address
- 13805 Ann PL
Austin, TX 78728-7702 - Phone
- (512) 964-8856
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 204875 | TX | Primary |
Addresses
Primary practice location
13805 Ann PL
Austin, TX 78728-7702
Mailing address
13814 Maye PL Apt a
Austin, TX 78728-7744
Phone (512) 964-8856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 6, 2024 through Dec 6, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204875 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1265130348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13814 MAYE PL APT A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787287744",
"telephone_number": "512-964-8856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13805 ANN PL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787287702",
"telephone_number": "512-964-8856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINEMAN",
"first_name": "CHARLA",
"middle_name": "ANN",
"credential": "LMFT ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204875",
"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 Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.