Individual provider Active NPI

Earley Barnes -Ullrich, LCSW

  • Clinical Social Worker
  • Cedar Park, TX
National Provider Identifier
1710245048
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52983 Issued in TX
Practice address
12001 W Parmer LN Ste 200
Cedar Park, TX 78613-7764
Phone
(737) 215-8655
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 52983 TX Primary

Addresses

Primary practice location

12001 W Parmer LN Ste 200
Cedar Park, TX 78613-7764

Mailing address

PO Box 1863
Leander, TX 78646-1863
Phone (737) 215-8655

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
52983TXMDHealth & Wellness Coach

Practice roles

OrganizationSpecialtyStatusNew patients
Hopeful Waters Counseling, PLLC CurrentSince Aug 29, 2021 Accepting new patients
Austin Child Guidance Center Past Accepting new patients

Locations

12001 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 763-9278

Organizations & group practices 2

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1710245048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1863",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786461863",
            "telephone_number": "737-215-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 W PARMER LN STE 200",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137764",
            "telephone_number": "737-215-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES -ULLRICH",
        "first_name": "EARLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.