Individual provider Active NPI

Ursula Denise Bostic, LBSW

  • Case Management Agency
  • Houston, TX
National Provider Identifier
1164575437
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
36369 Issued in TX
Practice address
3139 W Holcombe Blvd
173
Houston, TX 77025-1533
Phone
(832) 736-1860
Fax
(832) 201-9750
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 36369 TX
Case Management Agency 251B00000X 36369 TX Primary

Addresses

Primary practice location

3139 W Holcombe Blvd
173
Houston, TX 77025-1533

Mailing address

3139 W Holcombe Blvd
173
Houston, TX 77025-1533
Phone (832) 736-1860

Other identifiers 2

IdentifierTypeStateIssuer
159235403MedicaidTX
164134202MedicaidTX

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

LicenseStateTypeSpecialty
36369TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prosperity in Health Current Accepting new patients
Prosperity in Health Case Management Current Accepting new patients

Locations

3139 W Holcombe Blvd
Houston, TX 77025
Phone (281) 276-7574

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1164575437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 W HOLCOMBE BLVD",
            "address_2": "173",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251533",
            "telephone_number": "832-736-1860",
            "fax_number": "832-201-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 W HOLCOMBE BLVD",
            "address_2": "173",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251533",
            "telephone_number": "832-736-1860",
            "fax_number": "832-201-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "URSULA",
        "middle_name": "DENISE",
        "credential": "LBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "36369",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "36369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159235403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164134202",
            "state": "TX"
        }
    ],
    "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 22, 2016; 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.