NPIMap

Organization Active NPI

Greenriver Wellness Center

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1043650013
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GREENRIVER WELLNESS CENTER
Practice address
2400 Augusta Dr.
Ste 372
Houston, TX 77057
Phone
(713) 785-7575
Fax
(888) 979-9976
NPI assigned
Jul 4, 2013
Last updated
Jun 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Paula Bokamper, L.P.C.NPI 1942634613
Title
Owner
Phone
(713) 785-7575

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 NU Primary

Addresses

Primary practice location

2400 Augusta Dr.
Ste 372
Houston, TX 77057

Mailing address

2400 Augusta Dr.
Ste 372
Houston, TX 77057
Phone (713) 785-7575

Other names 1

  • GreenRiver Wellness and Recovery Center, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

2400 Augusta Dr
Ste 372
Houston, TX 77057
Phone (713) 785-7575

Practitioners & affiliated clinicians

Practitioners 9

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": "1372896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1043650013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 AUGUSTA DR.",
            "address_2": "STE 372",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77057",
            "telephone_number": "713-785-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AUGUSTA DR.",
            "address_2": "STE 372",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77057",
            "telephone_number": "713-785-7575",
            "fax_number": "888-979-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENRIVER WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-04",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "BOKAMPER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-785-7575",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GreenRiver Wellness and Recovery Center, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 28, 2016; 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.