Active NPI
Alexis Kemp, CERT.LIAISONADVOCATE
- Peer Specialist
- Houston, TX
National Provider Identifier
1134713175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 2020171136
- Practice address
- 6503 Marinwood Dr
Houston, TX 77053-4359 - Phone
- (832) 908-0590
- NPI assigned
- Feb 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2020171136 | TX | |
| Poetry Therapist | 102X00000X | 2020171136 | TX | |
| Case Manager/Care Coordinator | 171M00000X | TX | ||
| Peer Specialist | 175T00000X | 2020171136 | TX | Primary |
Addresses
Primary practice location
6503 Marinwood Dr
Houston, TX 77053-4359
Mailing address
6503 Marinwood Dr
Houston, TX 77053-4359
Phone (832) 908-0590
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Messaging | Direct | CTA Family School Liaison |
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 |
|---|---|---|---|
| 2020171136 | TX | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613865600000",
"number": "1134713175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6503 MARINWOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770534359",
"telephone_number": "832-908-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6503 MARINWOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770534359",
"telephone_number": "832-908-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "ALEXIS",
"credential": "CERT.LIAISONADVOCATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-21",
"last_updated": "2021-02-21",
"certification_date": "2021-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "2020171136",
"primary": false
},
{
"code": "102X00000X",
"taxonomy_group": "",
"desc": "Poetry Therapist",
"state": "TX",
"license": "2020171136",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "TX",
"license": "2020171136",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Messaging",
"affiliation": "Y",
"endpointDescription": "AlexisEleNesslifecoach@gmail.com",
"affiliationName": "CTA Family School Liaison",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6503 Marinwood Dr",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770534359",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.