NPIMap

Organization Active NPI

Accountable Source

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1114659893
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ACCOUNTABLE SOURCE
Practice address
2855A Mangum Rd
Suite 502
Houston, TX 77092
Phone
(713) 686-8548
NPI assigned
Jun 30, 2022
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
David Ikoya
Title
Program Manager
Phone
(713) 686-8548

Specialties & licenses 1

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

Addresses

Primary practice location

2855A Mangum Rd
Suite 502
Houston, TX 77092

Mailing address

2855A Mangum Rd
Suite 502
Houston, TX 77092

National Provider Directory

National Provider Directory
Tax ID family
Accountable Source4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1114659893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855A MANGUM RD",
            "address_2": "SUITE 502",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855A MANGUM RD",
            "address_2": "SUITE 502",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77092",
            "telephone_number": "713-686-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCOUNTABLE SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "IKOYA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "713-686-8548"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "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 Aug 25, 2022; 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.