Organization Active NPI

Gardner House

  • Social Worker
  • Houston, TX
National Provider Identifier
1144691239
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
06143 Issued in TX
Legal business name
GARDNER HOUSE
Practice address
9000 Frey Rd
Houston, TX 77034-3506
Phone
(281) 481-1774
Fax
(281) 464-8683
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Beverly Gardner-Nelson, LMSW-AP, LCDCNPI 1093865065
Title
Proprietor
Phone
(281) 481-1774

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 5737 TX
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 5737 TX
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 06143, 5737 TX
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 06143 TX Primary

Addresses

Primary practice location

9000 Frey Rd
Houston, TX 77034-3506

Mailing address

11717 Beamer Rd
#245
Houston, TX 77089
Phone (281) 481-1774

National Provider Directory

National Provider Directory

Locations

9000 Frey Rd
Houston, TX 77034
Phone (281) 481-1774

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1144691239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11717 BEAMER RD",
            "address_2": "#245",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77089",
            "telephone_number": "281-481-1774",
            "fax_number": "281-464-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 FREY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770343506",
            "telephone_number": "281-481-1774",
            "fax_number": "281-464-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "GARDNER-NELSON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "281-481-1774",
        "authorized_official_credential": "LMSW-AP, LCDC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "5737",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "5737",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "06143, 5737",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "06143",
            "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 Oct 14, 2015; 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.