Active NPI
Carolyn Benene Mehlomakulu, LMFT-S, ATR
- Marriage & Family Therapist
- Austin, TX
National Provider Identifier
1437282688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201229
- Practice address
- 13706 Research Blvd, Ste. 114
Austin, TX 78750 - Phone
- (512) 660-7279
- Fax
- (512) 233-5944
- NPI assigned
- Mar 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 201229 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | MFC 51426 | CA |
Addresses
Primary practice location
13706 Research Blvd, Ste. 114
Austin, TX 78750
Mailing address
13706 Research Blvd, Ste. 114
Austin, TX 78750
Phone (512) 660-7279
Other names 1
- Carolyn Benene Stalzer
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 51426 | CA | MD | Marriage & Family Therapist |
| 201229 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1437282688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13706 RESEARCH BLVD, STE. 114",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78750",
"telephone_number": "512-660-7279",
"fax_number": "512-233-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13706 RESEARCH BLVD, STE. 114",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78750",
"telephone_number": "512-660-7279",
"fax_number": "512-233-5944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHLOMAKULU",
"first_name": "CAROLYN",
"middle_name": "BENENE",
"name_prefix": "Mrs.",
"credential": "LMFT-S, ATR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201229",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 51426",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "STALZER",
"middle_name": "BENENE",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.