Individual provider Active NPI

Susan Wendelin

  • Marriage & Family Therapist
  • Austin, TX
National Provider Identifier
1396138947
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3885 Issued in TX
Practice address
7320 Black Mountain Dr
Austin, TX 78736-3359
Phone
(512) 970-4335
NPI assigned
Mar 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3885 TX Primary

Addresses

Primary practice location

7320 Black Mountain Dr
Austin, TX 78736-3359

Mailing address

7320 Black Mountain Dr
Austin, TX 78736-3359
Phone (512) 970-4335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240102002675 TX Practitioner - Marriage and Family Therapist 4981054053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

10816 Crown Colony Dr
Suite 100
Austin, TX 78747-1639
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

10816 Crown Colony Dr
Ste 100
Austin, TX 78747
Phone (512) 601-5856

1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050

2911 A W Grimes Blvd
Ste 330
Pflugerville, TX 78660
Phone (512) 649-2270

Organizations & group practices 1

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": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1396138947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 BLACK MOUNTAIN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787363359",
            "telephone_number": "512-970-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 BLACK MOUNTAIN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787363359",
            "telephone_number": "512-970-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDELIN",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "3885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.