Provider Demographics
NPI:1427271915
Name:BIELLING, JOSEPH E (LPCA)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:E
Last Name:BIELLING
Suffix:
Gender:M
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 W KOENIG LN STE 202
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-1415
Mailing Address - Country:US
Mailing Address - Phone:206-852-1297
Mailing Address - Fax:
Practice Address - Street 1:1503 W KOENIG LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-1415
Practice Address - Country:US
Practice Address - Phone:206-852-1297
Practice Address - Fax:206-453-5630
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2025-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91893103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
0229762OtherL&I
1A580OtherPREMERA SUBMITTER ID
CA406143OtherABMP
WA518637-06OtherNCTMB
WA197047OtherAMTA PROFESSIONAL MEMBER
CAP 632525-955OtherCA MASSAGE PERMIT
CAP 632525-955OtherCA MASSAGE PERMIT