Active NPI
Andrew Sonny Iwe, MASTER'SLCDC,LMFT
- Addiction (Substance Use Disorder) Counselor
- Houston, TX
National Provider Identifier
1124184312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 7776
- Practice address
- 10103 Fondren Rd
Suite 330
Houston, TX 77096-4556 - Phone
- (713) 981-6063
- Fax
- (713) 981-9772
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7776 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 724 | LA |
Addresses
Primary practice location
10103 Fondren Rd
Suite 330
Houston, TX 77096-4556
Mailing address
10103 Fondren Rd
Suite 330
Houston, TX 77096-4556
Phone (713) 981-6063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7776 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 724 | LA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1124184312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10103 FONDREN RD",
"address_2": "SUITE 330",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770964556",
"telephone_number": "713-981-6063",
"fax_number": "713-981-9772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10103 FONDREN RD",
"address_2": "SUITE 330",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770964556",
"telephone_number": "713-981-6063",
"fax_number": "713-981-9772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWE",
"first_name": "ANDREW",
"middle_name": "SONNY",
"credential": "MASTER'SLCDC,LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "7776",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "724",
"primary": false
}
],
"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 Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.