Active NPI
Benjamin S Johnson, LMFT
- Marriage & Family Therapist
- Austin, TX
National Provider Identifier
1720565005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 202116
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202116 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vonzee Interests LLC | Current | Accepting new patients | |
| Michelle Zee Enterprises LLC | Past | 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.
-
- Mental Health Counselor
- Austin, TX
- NPI 1184857393
-
- Clinical Social Worker
- Austin, TX
- NPI 1417492232
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.