NPIMap

Organization Active NPI

Johnell Fernandez

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1043387095
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
30306 Issued in TX
Legal business name
JOHNELL FERNANDEZ
Practice address
3402 Dowling St
Suite 260
Houston, TX 77004-4271
Phone
(713) 533-1137
Fax
(713) 533-1136
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Ms. Johnell Fernandez, LMSWNPI 1003844093
Title
Ex Director
Phone
(713) 533-1137

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 30306 TX Primary

Addresses

Primary practice location

3402 Dowling St
Suite 260
Houston, TX 77004-4271

Mailing address

3402 Dowling St
Suite 260
Houston, TX 77004-4271
Phone (713) 533-1137

Other identifiers 1

IdentifierTypeStateIssuer
176300502MedicaidTX

Other names 1

  • Endless Opportunities Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Endless Opportunities2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1043387095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 DOWLING ST",
            "address_2": "SUITE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770044271",
            "telephone_number": "713-533-1137",
            "fax_number": "713-533-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 DOWLING ST",
            "address_2": "SUITE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770044271",
            "telephone_number": "713-533-1137",
            "fax_number": "713-533-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNELL FERNANDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JOHNELL",
        "authorized_official_title_or_position": "EX DIRECTOR",
        "authorized_official_telephone_number": "713-533-1137",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "30306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176300502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endless Opportunities",
            "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 Aug 5, 2008; 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.