MEDICARE: BENJAMIN STANZELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101Y00000X	Counselor	95473	TX

General Provider Information

NPI Number	:	1538027115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN STANZELL

Provider Business Mailing Address
First Line	:	6250 ROSEWOOD DR APT 1010
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-4963
Country	:	US
Telephone Number	:	662-401-7671
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 TENNISON PKWY STE 100B
Second Line	:
City	:	COLLEYVILLE
State	:	TX
Zip	:	76034-6295
Country	:	US
Telephone Number	:	817-778-0522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	05/15/2026

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Directions to “ BENJAMIN STANZELL ” Practice Location

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