Individual provider Active NPI

Carolyn Benene Mehlomakulu, LMFT-S, ATR

  • Marriage & Family Therapist
  • Austin, TX
National Provider Identifier
1437282688
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201229 Issued in TX
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

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
MFC 51426CAMDMarriage & Family Therapist
201229TXMDMarriage & 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.

Verify at the official NPI Registry.