BENJAMIN JAMES EHRENFELD LCSW
NPI 1003417668
Social Worker - Clinical in Austin, TX

Active since November 02, 2020PECOS EnrolledAccepts Medicare Assignment
71.53/100
CMS Quality Rating
1601 TRINITY ST, AUSTIN, TX 78712(512) 495-5300 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Benjamin James Ehrenfeld Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN JAMES EHRENFELD LCSW (NPI 1003417668) is an individual clinical provider in Austin, Texas, licensed in Texas (64867) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003417668
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBENJAMIN JAMES EHRENFELDCredential: LCSW
Location Address1601 TRINITY STAustin, TX 78712-1765
Mailing Address803 E 47th StAustin, TX 78751-3308 · (716) 308-8758
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 2, 2020
NPPES CertifiedNovember 2, 2020
✔ NPI 1003417668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 64867
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1601 TRINITY ST, Austin, TX 78712

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin James Ehrenfeld Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446660062
PECOS Enrollment IDI20201110000023, I20240412000048
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Benjamin Ehrenfeld reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1601 TRINITY ST
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 294 clinicians in this Medicare group
Mental Health
4800 S MACADAM AVE STE 230
Portland, OR 97239
  • Reassigned Medicare billing, Oregon and Texas enrollments
  • 70 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.88 – $174.00
Typical copayment $0.00 (range $14.47 – $43.50)
Most-billed visit code NA
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.85
Improvement Activities40
Cost69.55

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Critical Care Medicine)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Rheumatology)
1601 TRINITY ST
AUSTIN, TX 78712
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712
Physician Assistant (Medical)
1601 TRINITY ST, SUITE 704
AUSTIN, TX 78712
Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Ehrenfeld's NPI number?

The NPI number for Benjamin Ehrenfeld is 1003417668. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Where is Benjamin Ehrenfeld located?

Benjamin Ehrenfeld practices at 1601 Trinity St, Austin, TX 78712. The listed phone number is (512) 495-5300.

What is Benjamin Ehrenfeld's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Benjamin Ehrenfeld enrolled in Medicare?

Yes. Benjamin Ehrenfeld is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Benjamin Ehrenfeld's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Ehrenfeld reassigns Medicare benefits to 2 organizations: The University Of Texas At Austin (Austin, TX) and Sokyahealth Medical Group PC (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Ehrenfeld's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Ehrenfeld accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Kaiser Permanente, Moda Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Benjamin Ehrenfeld as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Ehrenfeld was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.