Organization Active NPI

Chosen Breakthrough Collaborative LLC

Doing business as Chosen Breakthrough Collaborative

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1013582535
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHOSEN BREAKTHROUGH COLLABORATIVE LLC
Doing business as
Chosen Breakthrough Collaborative
Practice address
8901 Jensen Dr
Houston, TX 77093-6925
Phone
(832) 781-8710
NPI assigned
May 26, 2021
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Catina Erwin, LPC-ANPI 1457849028
Title
Admnistrator
Phone
(832) 781-8710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Case Management Agency 251B00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

8901 Jensen Dr
Houston, TX 77093-6925

Mailing address

340 N Sam Houston Pkwy E Ste A258
Houston, TX 77060-3305
Phone (832) 781-8710

Other practice location 1

340 N Sam Houston Pkwy E Ste A258
Houston, TX 77060-3305
Phone (832) 781-8710

Other names 1

  • Chosen Breakthrough Collaborative Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Houston Direct

National Provider Directory

National Provider Directory

Locations

340 N Sam Houston Pkwy E
Ste A258
Houston, TX 77060
Phone (832) 781-8710

8901 Jensen Dr
Houston, TX 77093
Phone (832) 781-8710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1013582535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N SAM HOUSTON PKWY E STE A258",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603305",
            "telephone_number": "832-781-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 JENSEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770936925",
            "telephone_number": "832-781-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 N Sam Houston Pkwy E Ste A258",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770603305",
            "country_code": "US",
            "telephone_number": "832-781-8710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHOSEN BREAKTHROUGH COLLABORATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "CATINA",
        "authorized_official_title_or_position": "ADMNISTRATOR",
        "authorized_official_telephone_number": "832-781-8710",
        "authorized_official_credential": "LPC-A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8901 Jensen Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770936925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Chosen Breakthrough Collaborative",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.