NPIMap

Organization Active NPI

Capstone Connect, PLLC

  • Clinical Social Worker
  • Kingwood, TX
National Provider Identifier
1104247261
Registry record updated Mar 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52328 Issued in TX
Legal business name
CAPSTONE CONNECT, PLLC
Practice address
1110 Kingwood Dr Ste 120
Kingwood, TX 77339-2994
Phone
(832) 401-9701
Fax
(832) 565-1010
NPI assigned
Dec 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2024

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

Authorized official

Name
Mr. Erik Christopher Boie, LCSWNPI 1437589512
Title
Social Worker
Phone
(832) 401-9701

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 52328 TX Primary

Addresses

Primary practice location

1110 Kingwood Dr Ste 120
Kingwood, TX 77339-2994

Mailing address

1110 Kingwood Dr Ste 120
Kingwood, TX 77339-2994
Phone (832) 401-9701

Other practice location 1

3500 W Davis St Ste 250
Conroe, TX 77304-1849
Phone (832) 401-9701

Other practice location 2

3100 Weslayan St Ste 270
Houston, TX 77027-5752
Phone (832) 401-9701

Other identifiers 1

IdentifierTypeStateIssuer
1437589512MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170306000430 TX Part B Supplier - Clinic/Group Practice 2567746837 Receives reassigned benefits from 9 practitioners
Practice locations: Conroe, TX; Houston, TX; Kingwood, TX

National Provider Directory

National Provider Directory

Locations

3500 W Davis St
Ste 250
Conroe, TX 77304
Phone (832) 401-9701

3500 W Davis St
#T
Conroe, TX 77304

3100 Weslayan St
Ste 270
Houston, TX 77027
Phone (346) 402-4997

700 Rockmead Dr
Ste 213
Kingwood, TX 77339
Phone (281) 433-8210

1110 Kingwood Dr
Ste 120
Kingwood, TX 77339
Phone (832) 226-3372

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709424000000",
    "number": "1104247261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 KINGWOOD DR STE 120",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392994",
            "telephone_number": "832-401-9701",
            "fax_number": "832-565-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 KINGWOOD DR STE 120",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392994",
            "telephone_number": "832-401-9701",
            "fax_number": "832-565-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 W Davis St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773041849",
            "country_code": "US",
            "telephone_number": "832-401-9701",
            "fax_number": "832-565-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Weslayan St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770275752",
            "country_code": "US",
            "telephone_number": "832-401-9701",
            "fax_number": "832-565-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPSTONE CONNECT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A",
        "authorized_official_last_name": "BOIE",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "832-401-9701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437589512",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.