Individual provider Active NPI

Erin Kathleen Bogdanski, LMFT

  • Marriage & Family Therapist
  • Austin, TX
National Provider Identifier
1467856971
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204011 Issued in TX
Practice address
10900 Research Blvd Ste 160C
Austin, TX 78759-5718
Phone
(707) 394-6088
NPI assigned
Oct 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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 204011 TX Primary

Addresses

Primary practice location

10900 Research Blvd Ste 160C
Austin, TX 78759-5718

Mailing address

5855 Horton St
Emeryville, CA 94608-2043
Phone (707) 394-6088

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
204011TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thera Inc. Mental Health CurrentSince Nov 19, 2020 Accepting new patients

Locations

10900 Research Blvd
Ste 160C
Austin, TX 78759
Phone (512) 677-5115

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": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1467856971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 HORTON ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082043",
            "telephone_number": "707-394-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 RESEARCH BLVD STE 160C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595718",
            "telephone_number": "707-394-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDANSKI",
        "first_name": "ERIN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2022-11-15",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204011",
            "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 15, 2022; 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.