Individual provider Active NPI

Carolina Luna, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1194097600
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60280 Issued in TX
Practice address
118 Vintage Park Blvd Ste W
Suite 303
Houston, TX 77070-4096
Phone
(281) 301-8359
NPI assigned
Jan 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 60280 TX Primary

Addresses

Primary practice location

118 Vintage Park Blvd Ste W
Suite 303
Houston, TX 77070-4096

Mailing address

20212 Champion Forest Drive
Suite 700 #355
Spring, TX 77379-8783
Phone (832) 947-3993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181025002093 TX Practitioner - Clinical Social Worker 6204189962 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luna Counseling Houston PLLCGroup PAC ID 5092117960, 2 clinicians

Practice addresses (Care Compare)

20333 State Hwy 249
Houston, TX 77070-2617
Phone (832) 947-3993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60280TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Luna Counseling Houston PLLC CurrentSince May 24, 2021 Accepting new patients
Foundation Healthcare PLLC CurrentSince Feb 18, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 12, 2021 Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

20333 State Highway 249
#200A
Houston, TX 77070

20333 State Highway 249
Ste 200
Houston, TX 77070
Phone (281) 748-9088

8104 Spring Cypress Rd
Spring, TX 77379
Phone (281) 205-8786

7109 FM 2920 Rd
Ste 600
Spring, TX 77379
Phone (281) 205-8786

20212 Champion Forest Dr
Ste 700
Spring, TX 77379

Interoperability endpoints

  • Direct secure messaging: carolinaluna@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1194097600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20212 CHAMPION FOREST DRIVE",
            "address_2": "SUITE 700 #355",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798783",
            "telephone_number": "832-947-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 VINTAGE PARK BLVD STE W",
            "address_2": "SUITE 303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704096",
            "telephone_number": "281-301-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "CAROLINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.