Individual provider Active NPI

Benjamin S Johnson, LMFT

  • Marriage & Family Therapist
  • Austin, TX
National Provider Identifier
1720565005
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202116 Issued in TX
Practice address
2501 W William Cannon Dr
BLDG 6 Ste a
Austin, TX 78745
Phone
(512) 344-9181
Fax
(913) 551-2344
NPI assigned
Jul 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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 202116 TX Primary

Addresses

Primary practice location

2501 W William Cannon Dr
BLDG 6 Ste a
Austin, TX 78745

Mailing address

9100 Marsh Dr
Austin, TX 78748-5145
Phone (361) 772-4596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
202116TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vonzee Interests LLC CurrentSince Jan 23, 2024 Accepting new patients
Michelle Zee Enterprises LLC PastSince Jan 23, 2024 Accepting new patients

Locations

2501 W William Cannon Dr
Ste 6A
Austin, TX 78745
Phone (512) 344-9181

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1720565005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 MARSH DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485145",
            "telephone_number": "361-772-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR",
            "address_2": "BLDG 6 STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78745",
            "telephone_number": "512-344-9181",
            "fax_number": "913-551-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BENJAMIN",
        "middle_name": "S",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.