Individual provider Active NPI

Montisha M Hines-Goosby, LMSW

  • Social Worker
  • Houston, TX
National Provider Identifier
1013746700
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
37484 Issued in TX
Practice address
12340 Jones Rd
Houston, TX 77070-4863
Phone
(832) 756-2749
Fax
(859) 201-1151
NPI assigned
Jul 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 37484 TX Primary

Addresses

Primary practice location

12340 Jones Rd
Houston, TX 77070-4863

Mailing address

12340 Jones Rd Ste 290
Houston, TX 77070-3129
Phone (832) 756-2749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37484TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer and Associates Therapeutic Alliance, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Spencer & Associates Therapeutic Alliance, PLLC Social Worker CurrentSince Dec 1, 2024 Accepting new patients

Locations

12340 Jones Rd
Ste 290
Houston, TX 77070
Phone (281) 894-7222

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.

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1013746700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 JONES RD STE 290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703129",
            "telephone_number": "832-756-2749",
            "fax_number": "859-201-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 JONES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704863",
            "telephone_number": "832-756-2749",
            "fax_number": "859-201-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES-GOOSBY",
        "first_name": "MONTISHA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "37484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 29, 2024; 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.