NPIMap

Organization Active NPI

Houston Advanced Mediline Clinic

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1073756417
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HOUSTON ADVANCED MEDILINE CLINIC
Practice address
6550 Mapleridge St
Suite 214
Houston, TX 77081-4600
Phone
(713) 669-0848
Fax
(713) 669-0648
NPI assigned
Apr 15, 2009
Last updated
Apr 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Authorized official

Name
Mr. Emanuel Michael Lord
Title
Ceo
Phone
(713) 669-0848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6550 Mapleridge St
Suite 214
Houston, TX 77081-4600

Mailing address

6550 Mapleridge St
Suite 214
Houston, TX 77081-4600
Phone (713) 669-0848

National Provider Directory

National Provider Directory
Tax ID family
Houston Advance Mediline Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1073756417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST",
            "address_2": "SUITE 214",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814600",
            "telephone_number": "713-669-0848",
            "fax_number": "713-669-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST",
            "address_2": "SUITE 214",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814600",
            "telephone_number": "713-669-0848",
            "fax_number": "713-669-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON ADVANCED MEDILINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-669-0848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Apr 15, 2009; 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.