Individual provider Active NPI

Michael Paul Doerflein, LCSW

  • Social Worker
  • Houston, TX
National Provider Identifier
1720223571
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
30466 Issued in TX
Practice address
2015 Thomas St.
Houston, TX 77009
Phone
(713) 873-4029
Fax
(832) 203-5115
NPI assigned
Dec 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 30466 TX Primary

Addresses

Primary practice location

2015 Thomas St.
Houston, TX 77009

Mailing address

5003 Oak Shadows Dr
Houston, TX 77091
Phone (832) 203-5115

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
I20180216000273 TX Practitioner - Clinical Social Worker 0345500195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinghaven Counseling Group IncGroup PAC ID 5597898510, 14 clinicians

Practice addresses (Care Compare)

6100 Hillcroft Ave
Suite 642
Houston, TX 77081-1009
Phone (713) 457-4372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30466TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinghaven Counseling Group Inc CurrentSince Feb 8, 2018 Accepting new patients

Locations

6100 Hillcroft Ave
Ste 642
Houston, TX 77081

6315 Gulfton St
Ste 100
Houston, TX 77081
Phone (713) 457-4357

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": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1720223571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 OAK SHADOWS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77091",
            "telephone_number": "832-203-5115",
            "fax_number": "832-203-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 THOMAS ST.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77009",
            "telephone_number": "713-873-4029",
            "fax_number": "832-203-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERFLEIN",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "30466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.